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PLUMBING PERMIT - Oshkosh, Wisconsin Permil N~ 1140'1
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I Lot Bo. I Block I Ward I Addilion or Replat
OUTSIDE WORK
Dat.
NEW SEwn WATER STORMS fEES fEES RELAY S. SEWER WATER STORMS fEES
From MaIn to Curb Septic Tanks From Main to Curb
........ Curb to Building Electric Pumpa From Curb to Building
Rapair
INSIDE WORK
NO. NEW REP. USID RES NO. NEW REP. USED fEES "0. NEW REP. USED fEES
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Bath Tub Garbaga DilpooaIR CII!cb Basins
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Wub Basin Dilbwashen Conduclors
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Wat. CI_t LaundrarnIIfR Gr.... Catch BasiDa
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SIDlE Water Soften.rs Sump Pump Be Ejectors
WlI!8r H.at... Saniluy Bubblers Bar and Soda Wastes
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noor DrIllDa Denial Cuspido..
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Loundry Tubs Service Sinks
Inspections Valualion of the Work Herein Described Fee Verified. Receipted and Recorded Received Permil and Inspection F...
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$"00....00_00................0000...._00..0000....00............. ",,/.L<!Pm.m..Tolol
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---........--.-.-.-..-..--FiDal OK $""00'0000""""_"""""""""""""-""""""-""--- Date 3- jD-?JY
In the poriormence of this work the undersigned owner (or his euthorired agent) of said premises and his authorired Plumber hereby agree to be bounden by and
submit to all statutes, city ordinances, end rules and regulations prescribed by the Boud of Public Works for tha government of Plumbers.
undersigned that no other us.. will be made of the above connections except as hereinafter listed.
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