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PLUMBING PERMIT - Oshkosh, Wisconsin Permll N<.' 9067
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Date I Lol No. I Block I Ward I Addition or Replal
OUTSIDE WORK
NEW SEwn WATER STORMS fEES fEES RElAY S. SEWER WATER STORMS fEES
From MelD 10 Curb Septic Tanks From Main 10 Curb
FMm Curb 10 BuDding Eleclrlc Pumps From Curb 10 Building
Repair
INSIDE WORK
NO. NEW UP- USED flES NO. NEW REP. USED fEES NO. NEW REP. USED fEES
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BaIh Tub I----------- Garbage Dlspooall Cùcb BulDs
Wub Buln Dlshwuben Conductors
- - - - -
Wat&z CI_I Laundramals Gre... Catcb BulDs
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SIDk Water Softenars Sump Pump" Ejeclors
Wmr Heate.. I ¡.<>-Ù Sanitary Bubblers Bar and Soda Waslas
Sbow&Z BaIbs Urlna1s
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Floor DraIDs Dental Cuspidors
I- -
Laundry Tuba Service Sinks
Iaspect!ons Valuation of Ibe Work Herein Described Fee Verified, Recelpled and Recorded Received Permit and Inspecllon Fees
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-------------------------------FiDal OK $------- ----------------------- --------------------------------------- Dale J. /~ '7 to
In the performance of thi. work the undersigned owner (or hi. authorbed agent) of said premise. and hi. authorized Plumber hereby agree to be bounden by and
submit to all .tatute., city ordinanc.., and rules and regulation. prescribed by the Board of Public Work. for the government of Plumbers.
It I. futher agreed by the undersigned that no other u... will be made of the above connections except a. hereinafter listed.
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