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PLUMBING PERMIT - Oshkosh, Wisconsin
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I Block I Ward
Permit N'? 1) 74
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I Lot Ho.
l Addition or Replat
Date
OUTSIDE WORK
NEW SEW" WATER STORMS FE" FEES RELAY S. SEWER WATER STORMS FEES
From MaIn to Curb Seplic Tanks From Main to Curb
From Curb to BuDding Eleclrlc Pumps From Curb 10 Building
Repair
INSIDE WORK
NO.
NEW
UP. I USED
FlES
NEW
REP. I USED
FEES
NEW
REP.
fEES
USED
PlO.
NO.
Betb Tub
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1.
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sanUary Bubblers
Bar and Soda Wules
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Garbage D~
Catch BulJII
Dlshwuhers
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Conduclors
Wuh Buin
Gr.... Catch Buins
Laundramats
Water Clooet
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SIDk
Water Softeners
Sump Pump II< Ejectors
/
Water Heaten
Shower Baths
Urinals
noor »raIDs
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Denial Cuspidon
Laundry Tubo
Service Sinks
Insped!ons Valuation of Ihe Work Herein Described Fee Verüied. Receipled and Recorded Received Permit and Inspecllon Fees
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In the performance 01 this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby egree to ba bounden by end
submit to all statutes, city ordinanc.., and rules and regulations prescribed by the Board of Public Works lor the government 01 Plumbers.
It Is luther agreed by th! undersigned that no other uses will ba made 01 the above connections axcept""""
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