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PLUMBING PERMIT - Oshkosh, Wisconsin
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I Block I Ward
Permil N~ 455
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In Addition or Replal
Due
OUTSIDE WORK
NEW SEWEI WATER STORMS fE.. FEES RElAY S. SEWER WATER STORMS FEES
From MaIn 10 Curb Seplic Tanks From Main 10 Curb
!'10m Curb 10 BuUcllng Electric Pumps From Curb 10 BuUcllng
Repair
INSIDE WORK
NO.
NEW
NO.
NEW
FEES
fE..
NO.
NEW
REP. I USID
REP. I USED
REP.
USED
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Calch BulDo
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Bath Tub
Garbage DiI~
Wub Buin
Dishwuhers
Conduetors
b,ã'
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Gre... Cuch Bulu
Laundramals
Wuer Closel
t(;b
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Sump Pump Be Ejeclors
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SIDk
Wuer Softeners
Sanitary Bubblers
Bar and Soda Wules
Wu.. Heuen
Shower Balba
Urinail
;y
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b.d
Denial Cuspidors
Floor Dralu
Senice Sinks
LaUJId:ty Tubs
Impecl1ons
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In the performance of this work the undersigned owner (or hi, authorized agent) of said premise, end hi, autho zed
submit to all statutes, city ordinances, and rule, and regulation, prescribed by the ao;ord of Public Works for the go rn nt
It Is futher agreed by the undersigned that no other uses will be made of the above connections except as herei ft. I st
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Fee Verified. Receipled and Recorded
Received Permi! and Inspecllon Feee
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Dale 7-1- 77
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