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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 9024
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I Lot Ho. I Block I Ward .... ....1 Addition or Replat
OUTSIDE WORK
Date
NIW SIWEI WATE' STORMS fEES FIlS 'ILAY S. SEWI. WATE' STORMS fEES
From Mein 10 Curb Seplic Tanks From Main 10 Curb
From Curb 10 BuDding Electric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO. NEW RIP. USED ..IS NO. NIW .IP. USED ~ NO. NIW RIP. USED fEES
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Bath Tub Garbage DI8~ ) Catcb Bulna
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Wub Bula Dishwuhers - Conduclors
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Water CI_I Launclramab Greue Catch Bulna
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Siak fÓÒ Water Softeners Sump Pump 8< Ejectors
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Water Heaters sanUuy Bubblers Bar and Soda Wules
Show.. Baths Urlaala 1-
noor Dr8iDs Denial Cuspidors 1-
-
Laundry Tubs Service Slab
laaped!ona V ,uation of the Work Herela Described Fee Verifiecl. Receipted and Recorded Raceived Permit and lnapactlon Fees
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In the performence of this work the undersigned owner (or his euthorbed agent) of said premises end his euthorired 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 made of the above connections except as hereinafter listed.
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