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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N'? 1663
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I Lœ Ho. ~ I Ward
OUTSIDE WORK
I Addilion or Replat
Data
Naw SEWEI WA"R STORMS FEES FEES RELAY S- SEWER WATER STORMS FEES
F~ Me1rI 10 Curb Septic Tanks From Main 10 Curb
FI'om Curb 10 BuDding -7 ,/ ~ Electric Pumpa F~om Curb 10 Building
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INSIDE WORK
NO. NEW UP. USID FlES NO- NEW REP. USED FEES NO. NEW REP. USED FEES
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Bath Tub Garbage DÙlposebo Catch Basins
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Wash Basin DÙlhwashen - Conducto..
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Water CIONI Laundnmats G~eue Catch Basins
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SiDlI: Wate~ Softene.. Sump Pump Ik Ejeclors
Wate~ Haata.. Sanitary Bubblers Bar and Soda Wasles
Showar Baths U~iDala
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Floœ Dralns Denial Cuspldo"
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LawWy Tubs Serrice Sinks
JDSPSCIions t ~~~~~':~~~ Fee Verified. Recelpled and Recorded Received Permit and Inspecllon Fees
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In the parformance of this work the undersigned owner (or his authorized agent) of said premises and his authorized 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 hereinaller listed.
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