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PLUMBING PERMIT - Oshkosh, Wisconsin Permit' Nt,? 9218
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I Lot No. b I Ward
OUTSIDE WORK
I Additi.on or Replat
Dat.
NIW SEwn WATER STORMS fEES fEES RELAY S, SEWER WATER STORMS fEES
From MaIn to Curb Septic Tanks From Main to Curb
........ Curb to Building Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO,
NEW
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USED
HES
NO,
NEW
REP. I USEDI~fEES I NO.
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NEW
REP. I USED
fEES
BathTub
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Dental Cuspidors
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Garbag. Dispooals
Catch B..1ns
Wuh B..ID
Disbw..hers
Conductors
Water CI_t
Laundramab
Gr.... Catch B..iDs
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Sump Pump I< Ejectors
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Water Softeners
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Water H.aters
Sanitary Bubblers
Bar end Sode Wastes
Shower Batha
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noor Dralu
Laundry Tubs
Service SIDka
Inspactlons
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Valuation of the Work HerelD Described
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Fee Verified. Receipted and Recorded'
Received Permit and Inspection Fe..
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In the performance of this work the undersigned owner (or his euthorbed agent) of said premises and his authorired Plumber hereby agree to be bounden by ...d
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 made of the above connections except as hereinener liste<!.
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