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PLUMBING PERMIT - Oshkosh, Wisconsin Permil N~ 652
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~ I Ward
OUTSIDE WORK
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[- Lot No.
I Addition or 'Replal
Date
NEW SEW" WATER STORMS lEES lEES RElAY S. SEWER WATER STORMS FEES
From MaIn 10 Curb V ./ Seplic TaDks From Main 10 Curb
FIom Curb 10 BuDding z./ ........--- Eleclrlc Pumps From Curb 10 Building
Repair
INSIDE WORK
NO.
NEW
USED
NEW
REP. I USED
NEW
lEES
REP. I USED
FEES
"O.
FlES
NO.
REP.
Bath Tub
Garbage DII~
Ca!cb Bulm
Wuh Buin
DlIhwuhen
Conduclors
Wat... Clooel
Laundram&18
Greue Catch BuiDI
Sink
Water Softeners
Sump Pump 8< Ejeclors
Water Heaters
Sanitary Bubblers
Bar and Soda Wules
Show... Baths
Urinall
Floor Drains
Laundry Tubo
Denial Cuspidors
Service Sinks
Il1Ipecllol1l Valuation of Ihe Work Herein Described Fee Verified. Receipled and Recorded Received Permit and Inspecllon Feeo
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In the performance of this work the undersigned owner (or his authorired agent) of said premise. and his authorized 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.
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