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PLUMBING PERMIT - Oshkosh, Wisconsin Per...itN~ 8078
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-- - l Lot No. I Block I Ward 1- Addition or Replal
OUTSIDE WORK
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Date
NEW SEWER WATER STORMS fEES FEES RELAY S. SEWER WATER STORMS FEES
From MaID to Curb Septic Taaks From Main to Curb
~ID Curb to BuUcllng Electric Pumps From Curb to Building
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INSIDE WORK
110.
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UP. -
NEW
USED
FlES
NO.
NEW
REP. I USED
FE"
NO.
NEW
REP.
USED
FlES
Batb Tub
Garbege DllpooaJs
Catch BesinIJ
Wesb BuiD
r-
Dllbwashers
Conductors
Water CloIot
Blair
Laundramabl
Grease Caleb Bulns
Water Softeners
Sump Pump Be Ejectors
Water H_rs
Sanitary Bubblers
Bar and Soda Westes
8ho..... Baths
Ur1IIaIs
Floor Drelu
Dental Cuspidors
Laundry Tubs
buIpectioll8 -------Oulsicle
=:~=:~~::::::==--=~::::___.IDside
Service SiDb
Veluation of the Work HereiD Described
Jt390, oil
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Fee Verified, Receipted and Recorded
Received Permit and IlI8pection Feee
--~---------____-8ewer Feee
--- l~_~_()_--Plbg. Fees
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In the performance of this work the undersigned owner (or his authorized agent) of said pre...ises and his authorized Plumber hereby agree to be boundan by and
submit to all statutes, city ordinances, and rules and regulations proscribed by the BDard of Public Works for the government of Plumbers.
It is fllther agreed by the undersigned that no other uses will be made of the above connections except as hsre;nafter Ii§led.
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Plumbing In......'
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