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PLUMBING PERMIT - Oshkosh, Wisconsin
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I Block I Ward
Permit N': 9963
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Dale
l Lot No.
I Addition or Replal
OUTSIDE WORK
NEW SEW" WATER STORMS FEES FEES RElAY S. SEWER WATER STORMS FEES
From MaIn 10 Curb Seplic Tanks From Main 10 Curb
From Curb 10 BuDding Eleclrlc Pumps From Curb 10 Building
Repair
INSIDE WORK
NO. NEW u.. USID FlES NO. NEW REP. USEa FEES NO. NEW REP. USED FEES
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BathTub Garbage D~ Caleb Bulns
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Wuh Bum Disbwuben 1- Conductors
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Wat.. CI_t LaundramaIJI Gre... Caleb BuiDa
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SIDk Waler Softeners Sump Pump Ik Ejeclors
Wale. Heale.. 7 W,60 Sanitary Bubblers Bar and Soda Wules
Show.. Balha f--- 1-- Vrmala -
Floor DraiDa Denial Cuspidors
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Laundry Tubo Service Sinks
InspocliolUl :#;?¿ f ~ I_Q- ~:r:--=: ~::_::~=_: Fee Verified. Receipled and Recordad Received Permi! and Inspeellon F-
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In the performance of this work the undersigned owner (or hi, authorized agent) of said premises and his authorizad Plumber hereby agree to be bounden by and
submit to all statutes, city ordinances, and rules and regulations prescribed by the Board of ~ Works for the government of Plumbe",.
It Is futher agread by the undersignad that no other uses will be made of the above connections
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