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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N<1 240
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Dale Lot No. Block. Ward
OUTSIDE WORK
I Addition or Replal
NEW SEWn WATER STORMS FEES FEES RELAY S. SEWER WATER STORMS FEES
From MaIn to Curb Septic Tank. From Main to Curb
!'10m Curb 10 Building Electric Pumps From Curb to Building ¡80 /IOV
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INSIDE WORK
NO. NEW "P. USED FlES NO. NEW REP. USED FEES NO. NEW REP. USED FEES
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Bath Tub Garbage Dlapoeals Catch Basins
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Wuh Buin Dishwuhers Conducto..
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Wilier Cloeet LaundramatR Gre... Caleb Bum.
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Sink Waler Softene.. Sump Pump Be Ejecto..
Wilier Heale.. Sanitary Bubblers Bar and Soda Wute.
Shower B81he Urinals
Floor Dr"'" Dental Cuspido..
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Laundry Tube Service Sinks
Inspec1lons Valuation ~Work Herein Described Fee Verified. Receipted and Recorded Received Permit and Inspection Fees
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In the performance of thi. work the undersigned owner (or his authorired agent) of said premises and his author ired Plumber hereby agree 40 be bou,,{¡en by end
submit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It Is luther agreed by the undersigned that no other uses will be made of the above connections except a. hereinafter listed.
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