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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 569
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I Lol Ho. ¡BlOCk I Ward
OUTSIDE WORK
17
I Addilion or Replat
Date
NIW SEwn WATER STORMS fEES FEES RELAY S. SEWER WATER STORMS FEES
From MaIn 10 Curb Septic Tanks From Main 10 Curb
From Curb to Building Eleclrlc Pumps From Curb 10 Builcüng
Repair
INSIDE WORK
NO.
NEW
....
NEW
NO.
NEW
fEES
....
USEO
RE'. I USED
fEES
USED
FRES
NO.
Bath Tub
Wuh Boln
Waler Clooel
SIDk
Waler Healen Sanitary Bubblers
Shower BaIhI UriDa1s
Floor DoaIDa Denial Cuspidors I-----I-f------I I I I f------I-~-
I Laundrr Tubs Service Sinks
~:~::_.._...._..........._....._Oullide I :a3;~~..::r~:.:::=.:: Fee Verified. Receipled and Recorded R-:ei:~.~--~~~:~.s:n;e:n;':lion F-
..........................-.....---.-...--...-..---..Inside .j.7.~.........PIbg. Fees
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Garbage DlspooIs
Caleb BolDs
Dlsbwohen
Conduclors
Gre... Catch BolDs
Laundramall
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Wale. Softeners
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Sump Pump III: Ejeclors
Bar and Soda WHIRS
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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 agr/e to ~a ~nden by end
submit to all statutes, city ordinances. and rules and regulations prescribed by the Board of Public Works lor the government 01 Plumbers.
It is luther agreed by the undersigned that no other uses will be made 01 the above connections except as hereinaltar listed.
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