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PLUMBING PERMIT - Oshkosh, Wisconsin
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LLoi No. I Block I Ward
OUTSIDE WORK
Permit N('
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I Addilion or R ..
epla!
Dale
NIW SEWEll WATER SrORMS fEES FEES 'ELAV S- SEWE. WATE' STORMS fEES
From Mam to Curb Sepllc Tanks From Main to Curb
From Curb io BuilcIIDg Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO. NEW RIP. USED fliES NO- NEW .EP- USE. fEES NO- NEW 'EP. USED FEES
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Bath Tub Garbage Dioposa!s C- Basins
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Wuh Dubs Dishwashers Conductor.
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Wet." Cl_t Laundr- Gre..... Cldch Basins
SbIk / ¡'ÒÒ Water Softeners Sump Pump &: Ejeclors
WaRr Heeten Sanllary Bubblers Bar and Soda Wastes
Sho",." JIaths UrinaJs
n...... Dralwi Dental Cuspidors
Leundry Tubs Service Sinks
Inspecllons Valuation of the Work Herein Described Fee Verified. Receipted and R.corded Received Permit and Inspection Fees
-----------------Ouillda $ ..._;f:s:.O_L....P...P.__------..---------------- -...--- t--------...-___..s.wer Fees
-------------------Insidl> jL2SL_:Plbg. Fees
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In the performance of this work the undersigned owner (or his authorized agenl) of .aid preml.e. and hi. authorized Plumber hereby agree to be bounden by and
submit to all statute., city ordlnences, and rules and regulation. prescribed bv the Board of Public Work. for Ihe government of Plumber..
It I. futher .greed by the undersigned that no other use. will be mad. of the above connection. except .. hereinafter listed.
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