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PLUMBING PERMIT - Oshkosh, Wiscònsin PermIt N~ )972
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I Lot No. I Block I Ward Addition or Replat
OUTSIDE WORK
Dala
NIW SIWEI WAtER STORMS fEES FEES RELAY S. SEWER WAtER SroRMS 'EES
Fzom MaIn to Curb Septic TaDks From Main 10 Curb
Fzom Curb 10 BuDding Eleclric Pumpa From Curb to Building
Repm
INSIDE WORK
NO. NEW UP. USID FlES NO. NEW REP. USE. 'EES NO. NIW .EP. USIa FIlS
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B8ib Tub Garbage Diapol8ls Catch Bu1Ds
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Wub:11MIn ß 3 .3 ""CI Dlshwuben Conduclon
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WIIIH C1oaat Laundramab Gr.... Calch BalDI
;SIak " Water Soften..s Sump Pump" Ejeclon
Water Haala.. ;( l' "'1<>-0 S&nüary Bubble.. Bar and Soda Wales
8ho"'",iBaIkI i "7 3"" Urinals
F1oor Drlllna Denial Cupido..
Laundry Tubs Serrice Sinks
IIII]I8CIiClns . ~ ;::li£~~ ;z:__:: :::.::=~~ Fee Verified, Receipted and Recorded Received Permit and Inspection Fees
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-_.._._.9:n~._..PJbg. Fees
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In the performance of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to ba 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 hereinafter listed.
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