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PLUMBING PERMIT - Oshkosh, Wisconsin
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Dala I Lo.t No. I~ I Ward
OUTSIDE WORK
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N~ 1169
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Permit
l Addilion or Re"lat
NEW SSWEII WATER STORMS FlES fEES RElAY S. SEWER WATER STORMS fEES
From MaID 10 Curb Seplic Tanks From Main 10 Curb
Fmn Curb 10 Building Eleclric Pumpa From Curb 10 Building
Repair
INSIDE WORK
NO.
..,.
fEES
NEW
USID
flES
NO.
NEW
R". I USED
fEES
1<0.
NEW
R".
USED
BaIb Tub
Garbage Diopoaalo
Catch Bubls
Wub BuiD
Dishwuhers
Conduclors
WaiN CIOIOI
Laundramato
Greue Calch Bubls
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Sink
Waler Softeners
Sump Pump 8c Ejeclors
Water Haalers
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Bar and Soda Wulas
Sanllary Bubblers
ShOWN Balba
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IL_H-lltlO
UriDa1s
noor DralD8
Denial Cuspidors
Laundry Tuba
SerTica SiDb
IDSpac:Iions Valuation of Ihe Work HereIn Described Fee Verified. Receipled and Recorded Received Permit and Inspecllon Feeo
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In the performlnce of this work the undersigned owner (or his luthorired 1gent) of slid premises Ind his luthorired Plumber hereby Igree to be bounden by and
submit to III statutes, city ordinlnces. and rules Ind rogulations proscribed by the Boord of Public Works for the government of Plumbers.
It Is futher agroed by the undersigned thet no other uses will be made of the above connections
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