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PLUMBING PERMIT - Oshkosh, Wisconsin Perm\! N? 163
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'l~ z- I Lot No. I Block I Ward
OUTSIDE WORK
Dale
I Addüion or Replat
NIW SEWEI WATER STORMS FEES fEES RElAY S- SEWER WATER STORMS FEES
From MaIn to Curb Septic Tanks From Main to Curb
r.om Curb 10 BuDding Eleclric Pumps From Curb to BuUding
Repair
INSIDE WORK
NO. NEW ..,- USED FRES NO- NEW RE,- USED fEES NO- NEW ..,- USID fEES
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I BaIh Tub ,/ tOt) Garbage DiIpoaaIa Catcb Bum.
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I Wub Buin ¡/ I, t>t> I Dlshwubers ./ I, tIO Conductors
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I WatN Cl_t ,/' I,CI::) I Laundramals ¡/ l/dV GreDe Cateb BulDs
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L SIDk ¡/ ,00 Water Softeners / Sump Pump" Ejectors ¡/ I, £)
1 Waler Heaters ,/' IN) Sanilary Bubblers Bar and Soda Wutes
ShowN BaIha Urillals
I noor DraIDs ¡/ .Dó ' Denial Cuspidors
Laundry Tullo Serrice Sinks
InspecIiollJl Valuation of the Work Herein Described Fee Verified, Receipted and Recorded Received Permit and IlIJIpection F-
-----------------------------------------Oulslde $_~jL2.a.Ll<2__---__-------------------------------- ----------------------------Sewer Fees
--------------------------------------------___-----Inslde -------_.cz~_.9Q---_Plbg. Fee.
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-------------------------F1na1 OK $----------------------------------------------------------------------
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In the performance of thi. work the undersigned owner (or his authorized agent) of ..id premise. and hi. authorized Plumber hereby agree to be bounden by and
submit to all .tatutes, city ordinances, and rules and regulations pre.cribed by the a...rd of Public Work. for the government of Plumbers.
It Is futher agreed by the undersigned that no other u..s will be made of the above connections except as hereinafter lI.ted.
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