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PLUMBING PERMiT - Oshkosh, Wisconsin Permit N~ 8551
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LLoi Ho. I Block I Ward I AddUion or Replat
OUTSIDE WORK
DIII8
NEW SEWEll WA'ER "ORMS FEES <fES RElAY S. SEWER WATER "ORMS fEES
From MaIn to Curb Septic Tanks From Main to Curb
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From Cmb io BuUcI!nsr r2<)j) Eleclric Pumps FrOM Curb to Building
, Repair
INSIDE WORK
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NO.
NEW
III'.
USED ~I NO.
"EW
REP. I USED
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NEW
RE,. I USED
FEES
-
Bath Tub
Garbage Dio»Ol8!J
Caich Buins
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Wuh Bum
Dlsbwashen
Conductors
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Wilier CI"""i
Laund>ramaiR
Gre..... Caieb BuIns
SID:
Water Softeners
Sump Pump 81: Ejectors
WlII8r Beaten
Sanitary Bubblon
Bar and Soda Waste.
Shower Baths
UriwIls
FIoor »raIDs
Dental Cuspidon
Laundry Tubs
Service Sinks
Iaspectieas Valuaiion of the Work Herein De.crlbod Fee Verified. Receipted and Recorded Recei~Permlt and I...peclion Fees
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In the performsnce of this work the undersigned owner {or his authorized agenl} of s.id premise. and hi. authorized Plumber hereby agree Ie b. bounden by end
submit to all .ta.tules, city ordinances, and rules and regulations prescribed by the Board of Public Work. for Ihe government of Plumbers.
It Is futher agreed by the undersigned that no olher use. will b. made of tho "bove connection. except .. hareinaflo. listed.
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PlumbIng In......,
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