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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 9642
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I Lot No. I Block I Ward I Addition or Replat
OUTSIDE WORK
Data
NIW SEWD WAnR STORMS FEES FEES RELAY S. SEWER WAnR STORMS FEES
From MaIn to Curb fQAÁ'5 /¡I(~.y 'Ii?fðD Septic Tanks From Main to Curb
hom Curb to BuUdlng Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO.
NEW
RE,.
USED
FlES
NO.
NEW
RE'. I USED
FE"
NO.
NEW
RE'. I USED
FEES
Bath Tub
Garbage Diaposals
Catch Basins
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Wuh Basin
Diahwashors
Conductors
Water Cloaet
Laundramata
Gre... Catch Basins
f-
Sink
Water Softeners
Sump Pump 81: Ejectors
Waler Haaters
SanHary Bubblers
Bar end Soda Wastes
ShowerBaIhs
Urinals
Floor Drains
Dental Cuspidors
Laundry Tubs
Senico Sinks
Iupac:llons Valuation of the Work Herein Described Fee Verilied. Receipted and Recorded Received Permit and Inspection Fa..
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In the parformlnce of this work the undersigned owner (or his luthorired agent) 01 slid premises and his author ired Plumber hereby agree to be bounden by and
submit to all statutes, city ordinances, and rules and regulations prescribed by the Boald of Public Works for the government 01 Plumbers.
It Is luther agreed by the undersigned thlt no other uses will be made of the above connections except as hereinalter listed.
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Plumbing Ino_, .
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