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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 9866
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I Block . ._J Ward
Date
I Lot No.
[ Addition or Replal
OUTSIDE WORK
NEW SEWn WAtER STORMS fEES fEES RELAY S. SEWER WAtER STORMS fEES
From MaIn 10 Curb Septic Tanks From Main to Curb
!Wm Curb 10 Dundlne Electric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO.
NEW
REP.
filS
NEW 171 USED~E~I tlo.
Catch Basins
NEW
REP.
USED
fEES
USED
NO.
BathTub
Garbage DlspoAls
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Wuh BaslD
Dishwashers
Conductorl
Water CI_1
Laundrama.ltl
Graue Catch BuiDo
Sink
Water Softene..
Sump Pump Ik Ejecto..
Water Heaten
Sanitary Bubblen
Bar and Soda Wastes
Shower Baths
UrlDalo
FloDr Drelu
Dental Culpidon
Laundry Tubo
Se...ice Sinks
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Fee Verified, Receipted and Recorded
Received Permit and Inlpectlon Fe..
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Date }d. .030 7 t'.o
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In the performance of this work the undersigned owner (or his authorired agent) of said premises and his authorized Plumber hereby agree to be bounden by and
submit to all statutes, city ordinanc.., and rules and regulations prescribed by the Soard of Public Works for the government of Plumbers.
It I, futher agreed by the undersigned that no other use, will be made of the above connection, except a, hereinafter listed.
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