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PLUMBING PERMIT - Oshkosh, Wisconsin
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L~oI_HO' - I Block I Ward
OUTSIDE WORK
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¡ Addition or Replat
Dill.
NIW SEW" WAlE. STORMS FEES FEES .E'AY I S. SEWE. WAlE. STORMS 'EES
From MaIn 10 Cub Septic Tanks From Main 10 Curb
~ Curb 10 Building Eleclric Pumps From Curb to Building
Repair
INSIDE WORK
NO. NEW RE,. US"" fI'S NO. NEW 'E'. USED fE.. NO. NEW .E,. USED "ES
I------
Bath Tub Gubage Di&~ Caleh B..ins
Wub Bum / 17.--0 Di&hw...ben Condudo..
1- - -
Wilier CI_t Laundramllls GreWlO ClI!eh Bulna
81D1e V\ j, U ^ c l I; P1? WIlIer Softaners Sump Pump 8< Ejeclors
Welor HaII!a.. I SaDitary Bubble.. Bu and Soda Wesles
8ho..... BIIIbø Urinals
Floor Dralua Dental Cuspldo..
Leundry Tubs Service 5mb
llIIped!olll Valulllion of the WDrk Herein Described Fee Verified. Receipted and Recorded Received Permit and llIIpeclion Fees
--------------------Outslde .j -0° -------.----------...----Sewer Fees
$____--_2_..._~...':_---------------_..._----- ____d_~___-Plbg. Fees
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---------'--'-'-- -----------------------c,iV-jmw;;;-------"'- -----------------Total
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------------Final OX $---------------------------------- Date /:J- -c2 9- 7~
In the performance of this work the undersigned owner (or his authorized agent) of s.id premises and his authorized Plumbar haraby agraa to ba boundan by and
submit to all statules. city ordinances. and rules and regulations prescribed by the Board of Public Works for tha gov~~f Plumber..
It Is futher agreed by Ihe undarsigned thai no other U55. will ba made of the above connections excapt as hereinafter listed.
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