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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 8967
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OUTSIDE WORK
NEW SEWEI WAUl "OIMS FEES FEES IELAY S- SEWEI WATEI srolMS FElS
From MaiD 10 Curb Septic Tankl From Main 10 Curb
!'10m Curb 10 BuUcIbIg Eleetric Pum>l From Curb 10 BuUcllng
Repair
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INSIDE WORK
NO. NEW UP. USIII FlES NO. NEW IEP. USED FEES NO. NEW IEP. USED FlES
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BaIh Tub GarbageD~ Catch BulDs
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Wuh Bum Dllhwuben Conduetors
1- - -
Water Clooat Laun<iramat8 Greue Catch Bu""
8111k Water Softeners Sump Pump" Ejectors
W..rHaaten / /..-(} Sanitary Bubble.. Bar and Soda Wut..
Sho..... Batba UriDaIa
Floor DraIDa Denial Culpldo..
Laundry Tuba Sernce Slnb
Inapecliona Valuallon of Ibe Work Herein Described Foe Verified. Recelpled and Recorded Received Permit and Inspection F-
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In the performs nee of this work the undersigned owner (or his authorized agent) of said promises and his authorized Plumber hereby agrae 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 made of the above connections except as herelnaftar listed.
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