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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 9684
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I Lot Bo. I Block I Ward I Addition or Re >lat
OUTSIDE WORK
Dale
NEW SEW" WAT" STORMS fE.S FEES "LAY S. S'WE' WATE' STORMS fEES
From MelD to Curb Saplic TankE From Main 10 Curb
From Curb 10 BuUdIn¡r Eleclric Pumps From Curb 10 Buildhtg
Repair
INSIDE WORK
NO.
NEW
u,.
NO.
N'W
fEES
NEW
US,.
fEES
.... I US,.
NO.
...-
US"
fE'S
BallI Tub
Garbaga DIIpo8aIa
Caleb Basins
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Wuh BaaID
Dishwashen
Conduclo"
Water CI_t
Laundrama.ll
Gre... Caleh Bulna
f------
SIDle
Walar Softane..
Sump Pump Be Ejectors
Water Heale..
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Sanitary Bubblers
Bar and Soda Wasles
.f/- (jO
Sbowor Baths
Urinals
Floor Dre1na
Leunc!ry Tub8
Denial Cuspido..
Serrica Sinks
Inspections
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V1alion of Ihe Work Herein Described
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Fee Verified. Receipted and Recorded
Received Permit and Inspeciion Fe..
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In the performance .f this work the undersigned owner (or his luthorlred agent) of said premises and his author Ired Plumber hereby agree to bo boundon by and
submit to all statutos. city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It Is futher agreed by the undersigned that no other uses will be made of the above connections except as herelnan
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PlumbIng In-_'
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