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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~' 8827
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I Lot No. -, Block I Ward -I Addition or Replat
OUTSIDE WORK
Dale
NEW SEWER WATER STORMS 'E'S ".. ."AY s- SEI'I'O WATE' STORMS FEES
From MaIn to Curb Septic Tanks From Main 10 Curb
I'Iom Curb 10 Bullcling #;...- / ' J..... /j'.lð Elecuic Pumps From Curb to Building
U Repair
INSIDE WORK
NO. NEW REP. US... .... NO. 1'1"11 '<P. USE. fEES "0. NEW .EP. USE. 'EES
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Bath Tub Gubago Dispooala Caicb :aulna
Wuh Basin Diahwub... Condudors
1- - - - -
Wale a_I Laundrlm1llÙ Gre... Caleb Basins
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SIDle Wale. Softene.s Sump Pump & Ejedors
Water Healers Sanitary Bubblers Bu and Soda Wastes
Show.., Balba UrinoJs
Floor Dralrla Dental Cuspidors
Laundry Tubs Senice Sinks
IlIIpøctIolil Valuation of the Work Herein Described Fee Verified, Receipted and Recorded Received Permit and llilpaclion F...
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---.-----.--___oo--Inside -¿--Y-_-~_-PIbg. Fees
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In thoo perfo,mance of this work the undersigned owner (or hi. authorized agent) of said preml.e. and hi. authorized Plumber hereby agree to be bounden by and
submit to all statute., city ordinances, and rules and regulations prescribed by the Board of Public Works for the government 01 Plumbers.
It is fulher agreed by the undersigned that no other uses will be made 01 the above _connection. except a. horeinaner listed.
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Plumbl.. In.~=r
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