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PLUMBING PERMIT - Oshkosh, Wisconsin
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Lop,o< I Block I Ward
OUTSIDE WORK
Permit N':' 8811
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Date
I Addiiion or Replal..
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NIW SEW" WAY" STORMS 'EES FEES RElAY 5- SEWER WATE. STORMS FEES
From Mah:I 10 Curb .t! ' I'.:t' I( Septic Tanks From Main to Curb
From Curb k> BuUcllng J--f" t!¡' /"e!:. 1/ ~ Electric Pumps From Curb 10 BuUding
Repair
INSIDE WORK
NO. NEW RIP. USED FiES NO. NE'" .E'. U"O fEES NO. NEW REP. USED FEES
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Bath Tub Garbagl> DiIposals Ce.tch Balm..
Wub Buln DiJlhwashers Condudors
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We.t... Clooet Laundr- Grease Ce.tob Baslno
BIDk We.ter Soften"rs Sump Pump 81: Ejedors
Water Heaters Sanltavr Bubble.. Bar and Soda Wasles
8how.... ;8aths UriDals
Floor Dralu Denial Cuspidors
Laundry Tubs Service Sinks
lnapso!ioJ18 Value.tion of Ihe Work Herein Described Fee Verified, Receipted and Recorded Received . Pe~ aM Inspaction Fees
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In the performance of this work the undersigned owner (or his authorized agent) of said premi..s and his authorized Plumber hereby agree to be bounden by and
submit to all statutes, city ordinances, and rules and regulations prescribed by the Soard of Pubiic Works for the governmont of Piumbers.
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