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PLUMBING PERMIT - Oshkosh, Wisconsin Permil N? 9587
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I Lol No. I Block I Ward
OUTSIDE WORK
l~ddilion or Replal
Date
NOW SEWEI WATER STORMS FEES FEES RELAY S. SEWER WATER STORMS FEES
From MaIn 10 Curb !d(I".r ///Co/' ,</JA^ Seplic Tanks From Main 10 Curb
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From Curb to BuDdlng Eleclric Pumps From Curb 10 Buildlng
Repair
INSIDE WORK
110. NEW "P. USED FlES NO. NEW REP. USED FEES "O. NEW REP. USED FEES
- - - - -
Bath Tub Garbage DiIposa]s CIUch Buins
- -
Wub Buin Dishwuhers Conduclors
- - - -
Water CI_I Laundramats Grease Catch BuiDs
-
SiDk Water Softeners Sump Pump 8< Ejeclors
Water Heate.. Sanitary Bubblers Bar end Soda Wasles
Shower Baths UriDaIs
- I
Floor ))raIDs Denial Cuspidors
Laundry Tube Service Sinks
Inspedions ld:f 6:: --~:~: _:: :::_::::_:: Fee Verified. Receipled and Recorded ~3~ðê!:il_:.n;e:n;::,lion Fees
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._--------------------.._----------------------------Inside _.L--<?:Q.--_.Plbg. F..s
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In the performance of thi. work the undarsigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to be bounden by and
submit to all .tatutes. city ordinances. and rule. and regulation. 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 mede of the above connections.
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