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PLUMBING PERMIT - Oshkosh, Wisconsin
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OUTSIDE WORK
Street Permit N°
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f Addition or Replat
Dato
NOW SEwn WATER STORMS "'S "'S ..,AY S. s.w.. WATE. STORMS FEES
From MaIn to Curb Septic Tanks From Main to Curb
From Curb to BuDding Electric Pumps From Curb to Building
Repair
INSIDE WORK
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Dental Cuspidors
Garbage Disposals
Catch Basins
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Dishwashers
Conducto..
Wub Basin
Water CI_t
LaundrlllDats
Gr- Catch Buins
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Water Softene..
Sump Pump" Ejectors
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Sanitary Bubblers
Water Hoate..
Bar and Soda Wastes
Shower Baths
Urinals
Floor Drains
Laundry Tubs
Ser'ric8 Sinks
Valuation of the Work Herein Described
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Recelyed Permit and Inspection F....
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Fee Verified. Receipted and Recorded
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CUy T,....,.,
Date
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In the performence of this work the undersigned owner (or his authorized agent) of seid premises and his authorized Plumber hereby agree to ba bounden by and
submit to all statutes. city ordinance.. and rule. and regulations prescribed by the Board of Public Works for the government of Plumbers.
It is futher agreed by the undersIgned that no other use. will be made of the above connections exce8
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