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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 109
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I Lot Ho. I_Block I Ward I Addition or Replat
Data
OUTSIDE WORK
NEW SEWD WAIER STORMS FEES FEES RElAY S- SEWER WATER STORMS FEES
From MaIn 10 Curb Septic Tanks From Main 10 Curb
From Curb 10 Building Electric Pumpa From Curb 10 BuUcüng
Repair
INSIDE WORK
NO. NEW REP- USEO FlES NO- NEW REP- USEO FEES NO. NEW REP. USEO FEES
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Bath Tub Garbage D18~ Catch BulDo
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Wuh Buln Disbwuhen Conducto..
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Water CI_I / LaundrllDUlolR Graue Catch BuIDo
Sink / ~!]O Water Softena.. Sump Pump 8< Ejectors / 7Z
Water Haatars I to(' Sanitary Bubblers Bar and Soda Wasles
Shower Baths Urlnall
Floor DralDo I /-.O( Denial Cuspidors
Laundry Tubs Service Sinks
Iaspacllons Valuation of the Work Herein Described Fee Verified. Receipted and Recorded Received Permit and Inspection F...
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In the performs nee of this work the undersigned owner (or his euthorized agent) of said premises and his authorized Plumber hereby agraa 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.
It Is futhar agreed by the undersigned that no other uses will be made of the ebova connactions except es hereinafter listed.,
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