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PLUMBING PERMIT - Oshkosh, Wisconsin Permil N~ 9103
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Dale
l Lot Ho.
I Block I Ward
OUTSIDE WORK
I AddiUon or Replat
N5W SlWEI WATER STORMS FEES FEES RELAY S. SEWER WATER STORMS FEES
From MaIn 10 Curb Septic Tanks From Main to Curb
From Curb 10 Builcllnø I 5dl Í'-r /~nÞ 7:°0 Eleclrlc Pumps From Curb 10 Building
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Repair
INSIDE WORK
NO.
NEW
UP.
NO.
",0.
FEES
NEW
REP. I USED
FEES
NEW
USED
FlES
REP. I USED
Bath Tub
Garbage DlIposals
Dlshwuhers
Catch BulDl
Wub Buin
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Conductors
Waler Clooat
LaundramaIB
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Grease Calch BulDl
SIDle
Waler Softeners
Sump Pump II< Ejectors
Waler Healers
Sanitary Bubblers
Bar and Soda Wules
Show.. BaIha
Urinals
"oar Drains
Leundry Tubs
Denial Cuspidors
Service Sinks
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Valuation of Ihe Work Herein Described
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Received Permit and Inspection Feeo
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Fee Verified. Receipted and Recorded
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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 mode of the above connections except JlS hereinefter listed.
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Plumbing In,po<fO'