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PLUMBING PERMIT - Oshkosh, Wisconsin Permil N~ 9559
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I Lot Ho. I Block 1 Ward .. - -~ Addition or Replat
OUTSIDE WORK
Date
NIW SEwn WATER STORMS FEES FEES RELAY S. SEWER WATER STORMS fEES
From MaIn to Curb Septic Tanks From Main to Curb
nom Curb to BuUdlng Electric Pumps From Curb to Building
Repair
INSIDE WORK
110.
NEW
RE,.
NO.
NEW
fEES
NEW
fEES
REP.
USE.
REP. I USE.
"0.
USED
"ES
Batb Tub
Garbage Dilpooa!s
Catch Basins
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Wash Buin
1-
/
Dilbwuhers
Conducto..
Greue Catch BuiDs
Laundrarnats
Water CI_t
-----
SiDk
Water Softene..
Sump Pump 81: Ejecto..
Water Heaten
Sanilary Bubble..
Bar and Soda Wutes
Shower Batha
/
Urinals
j"ffð
Floor DraIDs
Laundry Tubs
Dental Cuspido..
Service Sinks
Inspections
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Valuation of the Work Herein Described
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Fee Verified, Receipted and Recorded
Received Permil and Inspection Fees
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City T,."".'
In the psrformlnce of this work the undersigned owner (or his euthorired agent) of said premises and his authorired Plumblr hereby Igree to be boundln by and
submit to III statutes, city ordinlnces, and rule. and regulations prescribed by the Board of Public Works for the government of Plumbers.
I! Is futher Igreed by the undersigned thlt no other uses will be made of the above connections exc".r;s,..-l1:jfeinlfter listed.
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Plumb'"9 l..po<fO'
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