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PLUMBING PERMIT - Oshkosh, Wisconsin
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I Lot No. I Block I Ward
OUTSIDE WORK
SUMt . Pumit ~o
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I Addition or Raplat
Date
Naw SEwn WATER STORMS fEES fEES RELAY S. SEWER WATER STORMS fEES
From MaIn to Curb Septic Tanks From Main 10 Curb
From Curb to Bundlng Eleclric Pumps From Curb to Building
Rapair
INSIDE WORK
NO.
NEW
UP.
NO.
NEW
REP. I USED
NO.
NEW
fEES
SEP.
USED
fEES
USED
FlES
Botb Tub
Garbage Disposals
Dlshwuhus
Caicl1 Bulos
Wuh Buln
Conductors
Water Cl_t
Laundramats
Greue Catch Bulns
I--
Sink
Water Softeners
Sump Pump 8< Ejectors
Water Heaters
Sanitary Bubblers
Bar and Soda Wul..
Showu Batba
Urina1s
-~-
Floor Drains
Dental Cuspidors
Laundry Tubs
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. SerTica Sinks
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.
Fee Verified, Receipled and Recorded
R~tðD~_it_S:":e:n=lon Fees
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Date ~-1("
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-- City Ÿ;..."., --m--m--m__m--.
In the performance of this work the undersigned owner (or hi. authorized agent) of .aid premise. and hi. authorired Plumber hereby agree to be bounden by and
submit to all statutes, city ordinances, and rule. and regulations prescribed by the Board of Public Works for the government of Plumbers.
It Is futher egreed by the undersIgned that no other use. will be made of the above connections ~cept a. heo:.einaflar listed. /\
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