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PLUMBING PERMIT - Oshkosh, Wisconsin
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¡ Block I Ward
Permit Nt¡ 9085
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I Lot No.
I j\ddilion or Replat
Date
OUTSIDE WORK
NEW SEwn WATE' STORMS fEES fEES .E'AY S. SEWE' WATE' STORMS FEES
From MaiD to Curb Septic Tanks From Main to Curb
!\10m Curb 10 BuDding Electric Pumps From Curb to BuUding --
Repair
INSIDE WORK
NO. NEW UP. USID HES NO. NEW 'EP. USED FE" NO. NEW IEP. USED FE"
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Bath Tub ~ '1 . <XJ Gerbage Diopo&a1s Catch Buins
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Wub Buin :L .:r."I) Diobwuhen - Conducto..
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Wilier CIO18t _1 :1. ,-rJ Laundramats ,.;L ;(. o-t: Gre... Catch Buins
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Sink 'j :J..rrJ Water Softene.. Sump Pump Ik Ejectors / L
Water Heaters .:J ;j .1>- Sanilary Bubblers Bar and Soda Wutes
Shower Bathe Urinals
Floor Dollins 1 J.IH. Dental Cuspidors
Laundry Tubs Service Sinks
Inspections Valualion of the ~k Herein Described Fee Verified, Receipted and Recorded Received Permil and Inspeclion F...
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s......................................... ...........................-..- ................... "'.ë;¡;ïÿ;;;;~;;;""""""'.'.'.."'.'.' Date ...3-/7- 7f.>
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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 agree to be bounden by and
submit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Worksp\r t~ government of Plumbers.
It Is futher agreed by the undersigned that no other uses will be made of the above connections e
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