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PLUMBING PERMIT - Oshkosh, Wisconsin Permil N~ 9545
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I Block I Ward
OUTSIDE WORK
I Lot No.
l Addition or Replal
Dua
NOW SEWER WATER STORMS fEES FEES RELAY " SEWER WATER STORMS fE!
From MaIn 10 Cwb Septic Tanks From Main 10 Curb &. I( C!-e..' I"~ ~
From Cwb 10 BuUdIng Eleclric Pumps From Curb 10 Builcling /0 "(1¿' I" (1 4
Repair
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INSIDE WORK
NO.
NEW
RE.,
fEES I NO.
NEW
""'
fEES
"0,
NEW
RE.,
USED
RE.. I USED
USED
Ba!b Tub
Garbage Disposals
Ca!ch BuiDs
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.-
Wub Bum
Dlshwuhers
Conduclors
Wuer Clooet
Laundrama!s
Gra... Cuch BuiDs
f------
SlD1o:
Wuer Softeners
Sump Pump 8< Ejectors
Wa!ar Hauers
Sanitary Bubblers
Bar and Soda Wasles
Shower Batba
UrlDa!s
FIOO1' DraIDa
Denial Cuspidors
rr-'-
LaUJ1dry Tubs
Service Sinks
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Valuation of Ih;.1!°rk Herein Described
$ m 1d.f2. Q.'... ............ m"""" ",... .............. m""
0
Fee Verified, Receipled and Recorded
Received Permit and Inspecllon Fees
.....d...,~......Sewer Fees
.:::::~~::62::=::; Fees
p /~ 76>
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C;ty T,....",
Dale
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In the performance of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agr.. to be bounden by ."d
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 by the undersigned that no other uses will be modo of the above connections except as hereinafter listed.
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