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PLUMBING PERMIT - Oshkosh, Wisconsin Permil N? 176
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I Lot Ho. I Block I Ward
OUTSIDE WORK
Date
l Addüion or Replat
NEW SEWn WATER STORM' "E' fEE' RE'AY .. SEWER WATER STORMS fEE.
From MaIn to Curb Septic Tanks From Main 10 Curb
Fmm Curb to Building ElectrIc Pumps From Curb 10 Building
Repair
INSIDE WORK
NO. NEW u,. USED IRE' NO. NEW RE'. U'EO .... NO. NEW RE,. U'EO "E'
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Bath Tub Garbage DII~ CaIc:h Bulos
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Wuh BuiD Dishwuhen Conduclo"
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Water CI_I LaundramaIR Greue Catch"BuÌDR
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SIDk I Water Softene.. ,/" I,"'" Sump Pump Be Ejeclors
Water Heaten Sanitary Bubblen Bar and Soda Wutes
Shower Baths UriDa1s
F1oor Dr81D8 Denial Cuspidon
Laundry Tubo Senice SiDks
lupectiou Valuation of Ihe Work HereiD Described Fee Verified, Receipled and Recorded Received Permit and Inspection Fees
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In tho psrformanca of this work the undarsigned owner (or his authorized agent) of said premises and his authorized Plumber hereby';;;; to ';0 boundan by 8Itd
submit to all statutes, city ordinances. and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It is futhar agreed bX tho undersigned that no other uses will ba made of the above connections except as hereinaftar listed.
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