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PLUMBING PERMIT - Oshkosh, Wisconsin Parmil N? 9896
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I Block I Ward
l Lol No.
f Addilion or Replst
Dale
OUTSIDE WORK
NEW SEwn WATER STORMS FEES fEES RELAY S. SEWER WATER STORMS fEES
From MaIn to Curl> Seplic Tanks From Main to Curb
From CUl'b to BuUdlng Electric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO. NEW RE'. USID HIS NO. NEW RE'. USED fEES "O. "EW RE'. USED fEES
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Beth Tub Garbaga DislpooaIs Catch Bulns
Wuh BulD d-. 'l Dislbwuhen Conduclo"
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Walar CI088t 2 J.-... Laundrama18 / Greue Calch Bulna
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SIDk Waler Softene.. Sump Pump" Ejeclo.. -I
Waler Heale.. / / Sanitary Bubblers Bar and Soda Wules
Shower Batha UrlDals
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noor Dralu Dental Cuspido..
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Laundry Tube Service SlDks
Iaspecl1oas Valuation of Ihe Work Herein Descril>ed Fee Verified. Receipled and Recorded Received Permit and Inspecllon Fees
--....-<t(¡.¡;. --... ..-..- .-..... Ou bide $...:!4fmø--(fö............-...-.........-.... .....-......-......-.....Sewer F...
............ ...¡.. -~?........_........Iaside --4/r:a1.~II>g. Fees
$... ......-.-..........-................--...........-......-........
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In the performance of thi. work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to be bounden by and
submit to all statutes. city ordinances. and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
iI Is futher agreed by the undersigned that no other uses will be mede of the above connections except as hereinafter listed.
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