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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N<: 9382
~ Hame 10 /:' / streel;7 - 2 J--
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I Lol No. -I Block I Ward
OUTSIDE WORK
D81e
I A,ddition or Repl81
NOW SEW" WATER STORMS FEES FEES RELAY S. SEWER WATER STORMS FEES
From MaIn 10 C...b Seplic Tank. From Main 10 Curb
From Curb 10 BuDding Electric Pumps From C...b 10 Building
Repair
INSIDE WORK
110, NOW RlP- USED FlES NO, NEW REP. USED FEES NO. NEW REP. USED FEES
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Ba1b Tub Garbage DiçDealI ~ Ca1eh Basm.
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Wasb Basin Dishwashers ~ Conductors
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Waler CI_I Laundramals Gre... C81ch Basins
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SIDk W81er Softener. Sump Pump II: Ejeclors
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Waler He81e.. ./ Sanitary Bubhlers Bar and Soda Waste.
Shower Ba1ha Urinals
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Floor Dralu Denial Cuspido"
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Laundry Tuho Service Sinks
Inspecllons Valuation of the Work Herein Described Foe Verified. Receipled and Recorded Received Permit and Inspocllon F-
,,--------------------------------------------Oulside $__=:L_I7'-~,___tQ---Q--------------------------- ----------------------------Sower Fees
-----------------------------------.--------------_----Inside ---L--.CLQ--plbg. Fees
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In the performance of this work the undersigned owner (or his authorized agent) 01 said premlsas and his authorized Plumber hereby agree to be bounden by and
submit to all statutes, city ordinances. and rule. and regulations prescribed by the Board of Public Works lor the government 01 Plumbers.
It Is luther agreed by the undersigned that no other usos will be made of the above connections except as hereinaftar listed.
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