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. PLUMBING PERMIT - Oshkosh, Wisconsin ....-:'~9..~il N? 9.780
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~5 / '7 I Block I Ward -..-.l Addition or Replat
OUTSIDE WORK
Date
l Lot No.
NEW SEWEI WATER STORMS FE" FEES RELAY S. SEWER WATER STORMS FEES
From MaIn 10 Curb Septic Tanks From Main 10 Curb
FJom Curb 10 BuUdlng Electric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO. NEW RE'. USED FlES NO. NEW RE'. USED FE" NO. NEW RE,. USED FEES
19-J- ~ ~ ~
Bath Tub 1/ GRrbage Dlspooals Catch Basins
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Wub Basin '7'~ Dishwashers Conduclors
17 - - /.t;:::.. - ~
Wat.. CI0881 3 1iJ..., ( Laundnma.ll Gra... Catch Basins
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Sink 1/ Water Softenars Sump Pump 8< Ejectors / v-:
Water Heaters / /V Sanitary Bubblers BRr and Soda Wasles
Show.. BathR Urinals I~
Floor Dr"'" / IIV' Denial Cuspidors
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Laundry Tuba Service Sinks
kLi.;"l,2 /.7..1"---......... -. ....-. Outside Valuation of Ihe Work Herein Described Fee Verified. Receipled and Recorded Received Permit and Inspection F...
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In the performance of this work the undersigned owner (or hi. authoriz.d agent) of said premises and his authorbed Plumber hereby agr.. to b. bound.n by and
submit to all statut.., city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumb.rs.
It I. futh.r agreed by the undersigned that no other uoes will be made of the above connections except as hereinaft.r listed.
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