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PLUMBING PERMIT - Oshkosh, Wisconsin Permit NI,; 8564
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L~1fo,-- I Block I Ward
OUTSIDE WORK
lddi.iiOp_Or Replat
Da!8
Haw SEwn WATER STORMS FEES FEES RELAY S. SEWER WATER STORMS FEES
From MaID to Curb I Septic TaDks From Main to Curb
From Curb to BuUdlnll pI t1"C / //("-. ...l. 'lhÓO Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO. NEW REP. USED flES NO. NEW 'EP. USED FE" Ne. NEW REP. USED FEES
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Bath Tub G...bagaDillpcoab Catch D...1Ds
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Wash Buin Dishwashen - Conduclora
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Watft CIOIOt Laundr&llB!s Gre... Catch BolDs
81Dk Water Softeners Sump Pump II< Ejectors
Watft Haaten Sanitary Bubblers Bar and Soda Wastes
8ho... Datha Urirlala
Floor Drelu Dental CuapidDrs
Laundry Tubs Service Sinko
~::j!ðj2~_......__Outaide va~n of the Work Horein Described Fee Verified. Receipted and Recorded Received Permit and Inspection F-
n._.~-~-Q-....Sewer Fees
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In the performance of this work the undersigned owner (or his authorized agent) of said premi.e. aod hi. authorized Plumber hereby egr.. to be bounden by end
submit to all statute., city ordinanc.., and rules and regulation. prescribed by the Boerd of Public Work. for the government of ~Iumbers.
It is futher agreed by the undersigned thai no other use. will be made of Ihe above connection. except .. herein.f!!,! IIsied.
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Plumbing 10_'
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