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PLUMBING PERMIT - Oshkosh, Wisconsin
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I Lot No. I Block I ~ard
OUTSIDE WORK
Date
Slraet
and
Number
Permit N~ 1240 ~
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I Addition or Replat
NEW SEWn WAtER STORMS fEES fEES RELAY S- SEWER WATER STORMS fEES
From MaIn to Curb Seplic Tanks From Main to Curb
From Curb to Building Electric Pump¡ From Curb to BuUding
Repair
INSIDE - WORK
NO, NEW UP- USEO flES NO, NEW REP, USED fEES "O. NEW REP- USID fEES
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_Tub / Garbage DII~ Catch Bum.
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Wub Bulu Dllbwuhen Conductors
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Wat.. Clo88t ~ Laundramab Groue Catch Bum.
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Sink / Water Softeners Sump Pump Ik Ejectors
Water Heate.. Sanitary Bubbler. Bar and Soda Wale.
Show.. Baths UriDals
noor DraiDs Dental Cuspidors ~I
- -
Laundry Tubs Service SInks
Inspections :~I~-~t~QQ_:~~¿:~:L;~ Fee Verified. Receipted and Recorded Received Permit and Inspection Fees
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In the perlormence of this work the undersigned owner (or his authorired agent) of said premises end his authorired Plumber hereby egree to be bounden by ..,d
submit to ell statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the governmant of Plumbers,
It Is luther agreed by the undersigned that no other uses will be made 01 the abov!_Ç9J1Mctions except as hereinafter listed, ,
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