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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~
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I Lot Ho, ~ I Ward I Addilion or Replat
OUTSIDE WORK
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9838
Date
NAW SEWEI WATER STORMS fEES 'E'S RELAY S. SEW'R WATER STORMS FEES
From MaIn 10 Curb Septic Tanks From Main 10 Curb
!' rom Curb 10 BuUdlng Eleclric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO,
NEW
NO.
FEES
....
USED
fEES
NEW
RE.. I USED
fEES
NO.
NEW
REP.
USED
Bath Tub
*
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IV\:;
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Gubage Dlapooab
Catch Basins
-~
Dishwashen
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Conduclors
Wuh Basin
Water CI_I
Laundrama18
Gre818 Catch Basins
SIDk
Water Sofle...rs
Sump Pump" EjectDrs
Waler Heaten
Sanitary Bubblen
Bu and Soda Wasles
Shower Bathe
Urinala
Floor Drains
Denial Cuspidors
Laundry Tubs
Inspac:llons Outside
.----.-------------....-...---------------.--...--
Servic:8 Sinks
Fee Verified. Receipled and Recorded
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$-
.
Received Permit and Inspection Fees
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-Final OK
Date
In the performance of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to be bounden by and
submit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
it is futher agreed by the undersigned that no other uses will be made of the above connections except as hereinaner listed.
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