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PLUMBING PERMIT - Oshkosh, Wisconsin
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OUTSIDE WORK
Permit N~21.778
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I Addition or Replat
Date
NOW '"WEt WAUl STORMS fEES FEES RELAY S. SEWER WATER STORMS FEES
From MaIn to C...b Septic Tanks F~m Main to Curb
~m C...b 10 Bulldlng ¡..j " {I J' I {/, e.. 1¡)--() Electric Pumps F~om C...b to Building
/ Repair
INSIDE WORK
110.
NEW
REP.
FlES I NO.
NEW
fEES
FEES
NO.
NEW
REP.
USED
REP. I USED
USED
Batb Tub
Garbage DÏlpooala
Catch BolDs
--
Wub Basin
Dishwohan
Conducto..
W- Clooat
Laundramab
Gr..... Catch BulDs
~L
Shsk
Wate~ Sofiene..
Sump Pump Ie Ejecto..
Wate~ Heate..
sanUary Bubble..
Bar and Soda Wastes
Show. Bath8
U~ina1s
II'~
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Laundry TubI
Dental Cuspido..
Service Sinks
Inopec:t1ono Valuation of the Work Herein Described Fee Verified, Receipted and Recorded Received P~it and Inspection Feas
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In the performance of this work the undersigned owner (or his authorired agent) of said premises and his authorized Plumber hereby agrae to ba 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 fut"ar agreed by the undersigned that no other uses will ba made of the above connections except as hereinaltar listed.
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Plumbl"9 '"p"""'~-B '
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