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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 9117
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I Lot Ho. I Block I Ward
OUTSIDE WORK
Dale
I Addition or Replot
NEW SEW" WATER STORMS fEES "ES RELAY S. SEWER WATER STORMS 'EES
From MaIn 10 Curb Seplic Tanks From Main 10 Curb
~m Curb 10 BuDding Eleclric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO. NEW RE'. USED "ES NO. NEW RE,. -"""- FEES NO. NEW RE,. USE. 'EES
- - -
BaIb Tub Gerbage DII~ Calch Bulna
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Wuh Buln Dishwub... Conducloro
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Waler CI_1 LaundrlUlUlob Greue Catch Bulna
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SIDk .sÆa,v,,¡;;o 3 Waler Softeners Sump Pump 8< Ejeclors
Waler Healers Sanitary Bubblers Ber and Soda Wules
Shower BIIIhs Urinals
Floor Dra1nR Denial Cuspidors
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Laundry Tubs Service Sinks
IDipeclioDl Valuation of Ihe Work Herein Described Fee Verified. Receipled and Recorded Received Permll and Inspection F....
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_;;L..ß<1-../ì&---oo---Final OK ----- -------------"C¡ìÿ-T;;¡;-o;¡;;------_____---oo_------. Dale Yßþ¿;;
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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 ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It Is futhe. agreed by the undersigned that no other uses will be made of the above connections except as hereinelte. listed.
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