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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N<: 9312
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I Lot No. - I Block I Ward I Addilion or Replat
Date
OUTSIDE WORK
NOW SlWEI WATER STORMS fEES fEES RELAY S. SEWER WATER STORMS ....
From Main 10 Curb Seplic Tanks From Main 10 Curb
FNm Curb 10 BuDding Eleclric Pumps From Curb 10 BuUdh1g
Repair
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INSIDE WORK
NO. NEW UP. USED .... NO. NEW REP. USED fEES NO. NEW REP. USED ....
VJ ~ - -
BaIb Tub Garbage DiapooaJa Catch Bullll
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Wuh Buin !/O! Diabwuhen ~ Conduclors
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Wilier C10l81 / I/..ôt Laundramllis Gre... Catch Bullll
SIDk Wilier Softeners Sump Pump 8< Ejeclors
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Waler Hellie.. sanUary Bubblers Bar and Soda Wasles
Shower BIIibe / fióe Urinals
F1oor Dr8Ü18 Denial Cuspido..
Laundry Tubs Service Sinks
I""pactlons #IUatiOn of Ihe Work Herein Described Fee Verified. Receipled and Recorded Received Permit and Inspeclion Fees
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In the perlormance of this work the undersigned owner (or his authorizad agent) of said premises and his authorized Plumher hereby agree to ba boundan by and
submit to all statutes. city ordinances. and rule. and regulation. prescribed by the Board of Public Works for the government of Plumbers.
It I. futher agreed by the undersigned that no other uses will be made of the above connections except as hereinaftar listed.
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