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PLUMBING PERMIT - Oshkosh, Wisconsin Permil N~ 571
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OUTSIDE WORK
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I Addition or Replal
Dale
NEW SEwn WATn STORMS FEES FEES mAY S. SEWER WATER STORMS FEES
From MaIn 10 Curb Seplic Tanks From Main 10 Curb
FIom Curb Iø Bullding Eleclric Pumps From Curb 10 Building
Repair
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INSIDE WORK
NO.
NEW
NO.
FEES
FEES
NO.
NEW
NEW
REP. I USED
REP.
USED
RIP.
USED
FEES
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Caich Basins
Bath Tub
Garbage Dilpoqb
Dilhwashen
Conduclors
Wash BaslD
Gre... Calch Basins
Laundramail
Waler C~I
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Sump Pump Be Ejeclors
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Waler Softeners
Sanitary Bubblers
Bar and Soda Wasles
Waler Healers
8how.. Baths
Urinals
Denial Cuspidors
Floor DraiDa
Laundry Tubs
Servica SlDks
Iaopeclioao Valuation of Ihe Work HerelD Described Fee Verified, Receipled and Recorded Received Permit and Inspection F-
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In the performence of this work the undersigned owner (or his authorired agent) of said premises and his authorired Plumber hereby agree to be bounden by end
submit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It Is futher agreed byJhe undersigned that no other uses will be mede of the above connections except as herelnalter listed.
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