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PLUMBING PERMIT - Oshkosh, Wisconsin Permil N~ 9211
Hame . Sireel
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Dale
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OUTSIDE WORK
I Addition or Replal
NEW SEWEI WATER STORMS FEES FEES RELAY S- SEWER WATER STORMS FEES
From MaIn to Curb Septic Tanks From Main 10 Curb
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~ID Curb 10 BuDding Electric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO. NEW UP- USEO FlES NO. NEW REP. USED FEES 1<0. NEW REP. USED FEES
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Bath Tub ~ Garbage DilpooaIs ~ Catch Bu1ns
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Wub BuiD Dilbwuben Conduclors
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Waler ClOlOt Laundramals G.ease Caleb BuiDs
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SIDk Wale. Softeners Sump Pump II< Ejectors
Wale. Heal... / 1IJ~ òì Sanitary Bubblars Bar and Soda Wules
Shower Balbi U.iDais
Floor DreiDs Denial Cuspidors
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Laundry Tube Service SiD...
Inspeclions :¡j;UaliOn of the Work HereiD Described Fee Verified. Receipled and Recorded Received Permit and Inspecllon Fees
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-.---.---.-----.-.....---.....-.-..----...-..--.-. $.......-.-.-....---........---...--..--.-.--...........-.......---........- D~~.I--;Jg;J;1
---------.-.----..-..---FiDa1 OK $.....-------..-..-----...............----....-..-..-.----.-...-..-..- ...........---.... ......ëlíÿ.T;~;;;;~;..""...._'-_...."-"..-
In the performance of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agroo to be bounden by ond
submit to all statutes. city ordinances. and rules and regulations prescribed by the Board of Public Works for the governmant of Plumbers.
It Is futher agreed by the undersigned that no other uses will be made of the above connections except as hereinaftor listed.
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