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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 9996
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I Block I Ward
[ Lot Ho.
I Addilion-"r Replat
Date
OUTSIDE WORK
NEW sown WAT" STORMS .IIS FEES RELAY S. SEW'R WAUR SIORMS fEES
From MaIn 10 Curb Septic Tanks From Main 10 Curb
r.om Curb 10 Building ¡¡IJè;J; jI/ (I,ð1> ilf:¿Z Electric Pumps From Curb 10 Building
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Repair
INSIDE WORK
NO.
NEW
UP.
USED ~ NO.
NIW
R'P. I USED
FEES
NO.
NEW
REP.
USED
FI'S
_Tub
Garbage DilpoqIs
CaIcl1 Bulns
Wuh Buin
Dilbwuh...
Conductors
Water CI_I
Laundramattl
Gre... Cateb Bulns
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SIDk
Water Softeners
Sump Pump" Ejeclors
Waler Heate..
Sanitary Bubblers
Bar and Soda Wastes
Shower Batha
Urinals
Floor Dralnl
Denial Cuspidors
Laundry Tuba
W~M ~iI~
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Serrice SInh
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Fee Verified. Recelpled and Recorded
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City T,...u,.,
R~eji(r~-;::e:ns;:llon F-
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In the performence of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to be bounden by ond
submit to ell 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 a.
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