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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N? 8970
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I Lot No. I Block I Ward I Addition or Replat
OUTSIDE WORK
Date
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NEW SIWD WAYIR stORMS FEES FEES RELAY S. SEWIR WAIIR stORMS FEES
From Mala 10 Curb Septic Tanks From Main to Curb
!'10m ClØb 10 BuUcIInsr Electric Pumps From Curb to BuUdù1g
Repair
INSIDE WORK
)
NO. NEW 1tII'. USED FEES NO. NIW RIP. USID FIES NO. NEW 1tII'. USID HIS
- - - -
Bath Tub i 1.-0 Garbage D~ Catch BIIIiDs
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Wuh Buln ..¿ j,HJ Dlsbwubors I ¡,n;) Conductors
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Wat.... CI...I .:<.... ::ftKJ Laundr- I ¡.rCJ Gr- Catch BIIIiDs
Sink: I ¡r{) Water Softeners 1 1m Sump Pump IE Ejectors I /.r--t;
Water Hoa!- I t. crt) Sanitary Bubblers Bar and Soda Wules
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'1I~..BatJaa trriDa1e
Floor DraIDa i ;.rCJ Dental Cuspidors
LaUlldry TubE Servlc:e SIDkE
IDIPIICIions Valuation of Iha Work Herein Dasc:ribod Fee Verified. Receipted and Recorded Received Permit and Inspadlon F-
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In the performlnca of this work the undersigned own.er (or his authorized agent) of said premises and his authorized Plumber hereby Igree to be bounden by and
submit to III stl.tutes, city ordinances, end rules end regulations prescribed by the Board of Public Works for the govarnmant of Plumbars.
It Is futher Igreed by the undersigned that no other uses will be mede of the above connections except IS he.einlft.. listed.
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