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PLUMBING PERMIT - Oshkosh, Wisconsin
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I LoJ Ho. J .Block.. I Ward
Permit N~) 8155
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I Adcliiion or Replat
OUTSIDE WORK
NEW SEW" WATEA STORMS FEES fEES AElAY S, SEw'R \\lATER srORMS FEES
From MalA to Curb Seplic Tanks From Main 10 Curb
nom C~b 10 Building Elec"'ic Pumps From Curb 10 Building
Repair
INSIDE WORK
NO. NEW UP. USED FIlS NO. NE\\I REP. USED "ES NO. NEW AEP. USED "..
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Bath Tub I l-tH) Garbage DilpoaaIo Catch Basins
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Wash Buill ;¿ :1 ,U¥> Dishwashers Condudors
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Water CI_. :L ;;¡Yt- Laun<.!r- Grease Calch Basins
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Sink I / - o-c) Waler Softeners Sump Pump 8< Ejectors
W8!8r Hwers Sanitary Bubblers Bar and Soda Wasles
Show~ Baths I -v UrlDa!s
Floor 1h8lDa Denial Cuspidors
LeIUl.dry TWIs Seniee Sinks
laapectioaa Valualion of Ihe Work Herelll Described Fee Verified. Receipled and Recorded Received Permit and Inspeclion Fees
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In th.. perfermance of this 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 lor the government of Plumbers.
It is luthe. egreed by the undersigned that no other uses wm be mode 01 the above conneclions except as herein.!ter listed.
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