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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 9710
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~ l Ward
OUTSIDE WORK
l Lo.I No.
I Addilion or Replal
Dale
NEW SEW" WAtER STORMS FEES FEES RElAY S. SEWER WAtER STORMS FEES
From Main to CW'b j Septic Tanks From Main 10 Curb
FRom CW'b 10 BuUcllng 'j/tc ft;J¿ð]:; fL-,-l) ò Eleclric Pumps From CW'b 10 BuUdhtg
Repair
INSIDE WORK
110.
NEW
REP. I USED
NEW
REP. I USED
NO.
....
NEW
REP.
USED
fEES
FIlS
NO.
BaIb Tub
Garbage DiopoeaJs
CIIicb B..Ins
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Wuh BOlin
Diohwuh...
Conductors
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Water Cl_t
Laundr-
Gre... Calch B..Ins
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Sink
Waler Sofleners
Sump Pump" Ejeclors
Weier Heal...
Sanitary Bubbler.
Bar and Soda Wasles
Shower Balbs
Urinaio
noor DraIDs
Denial Cuspido"
Leundry Tubs
Service Sinks
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Received Perml1 and In.pecllon Fe..
---_2~_~--------Sewer Fees
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LL~J (p
Fee Verified. Receipled and Recorded
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Dale
In the performance 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 ordinance., and rule. and regulations prescribed by the Board of Public Works for the government of Plumbers.
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