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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N? 9270
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I Lot No. ... .... I Block I Ward
OUTSIDE WORK
I~ Addilion o. Replal
Dale
NEW SEwn WAtER STORMS fEES FEES .ELAY S. SEWE. WAtER STO.MS FEES
Foam Me!n 10 C...b Septic Tanks Foam Main 10 Cu.b
F>om Cub 10 BuDding Elecldc Pumps From C...b 10 Building
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INSIDE WORK
NO.
NEW
UP.
NO.
NEW
NO.
"ES
NEW
.EP.
USED
.EP. I USEO
fEE.
USED
FEES
BaIb Tub
Gubage DÌllpooaIs
Dishwash...
Ca1ch BaslDs
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Wash Buin
Conductors
Walez CI_I
Laundoamals
G.e... Calch BulDs
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Sink
Wale. Sofleners
Sump Pump 8< Ejeclors
Wale. Heale..
Saniluy Bubblers
Bu and Soda Wasles
Show.. Balha
I1riDals
nooo Doe1D8
Denial Cuspidors
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Launcloy Tubo
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Service Sinks
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-::i97---z.fo------Sewer F...
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Fee Verified, Receipled and Reco.ded
Received Pe.mil and Inspecllon Fees
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In the performance of this work the undersigned owner (or hi, authorized agent) of said premises and hi, authorized Plumber hereby agrea to ba bounden by end
submit to all statutes, city ordinances, and rule, and regulation, prescribed by the Board of Public Work, for the government of Plumbers.
It i, futher agreed by the undersigned that no other use, will be mede of the above connections except a, hereinefter listed.
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