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/ PLUMBING PERMIT - Oshkosh, Wisconsin Permit N? 9058
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I Loi No. I Block I Ward _I Addition or Replat
OUTSIDE WORK
Date
NEW SEWn WATER STORMS FEES FEES R"AY S. SEWER WATER STORMS FEES
From Matn 10 Curb Septic Tanks From Main 10 Curb
From Curb 10 BuDding Electric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO.
NEW
USID
NEW
NO.
FEES
NEW
REP.
USED
RIP. I USED
FEES
FlES
NO.
RIP.
Bath Tub
Garbage DilpoqIa
Catch Buw
1-
Wub Buin
Dilhwuhen
Conduclo"
Water CI_t
LaundramatR
Gre... Catch Buw
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SIDk
Water Soflene..
Sump Pump" Ejectors
Water Heate..
Sanitary Bubblers
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L":?
Shower Bathe
Urhsail
Floor Dralu
Laundry Tubs
Denial Cuspidors
Se..ice Sinks
Valuation of Ihe Work Herein Described
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Fee Verified. Receipted and Recorded
Received Permit and Inspection Fees
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InopectioM nnOulside
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Date
In the performance of this work the undersigned owner (or his authorired agent) of said premises and his authorized Plumber hereby egree 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 by the undersigned that no other uses will be made of the above connections except as hereinafter listed.
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