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PLUMBING PERMIT - Oshkosh, Wisconsin Permi! N? 9457
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I Block I Ward
OUTSIDE WORK
Date
I Lol Ho.
[ Addi!ion or Replat
NOW SEW" WATER STORMS FEES FEES RELAY S. SEWER WATER STORMS FEES
From MaIn to Curb Septic Tanks From Main to Curb
FJom Curb to BuDding Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO. NEW UP. USID HES NO. NEW REP. USED FEES NO- NEW REP. USED FEES
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Baib Tub Garbage DiIpoeaIs Catch Bulns
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Wub Buin },~ Dishwuhers - Conduclors
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Water CI_t Laundr8D1lÙR Greue Catch Bulns
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Sink /,6 Water Softeners Sump Pump 8< Ejectors
Water Heate.. / j."iI, Sanilary Bubblers Bar and Socia Wules
Shower Baths Urinals
-
noor Dr8laa Denial Cuspidors
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Laundry Tubs Service Sinks
Inspections : a1lQ:~; :~-:;; ~--=: :::_: ::=_:: Fee Verified, Receipled and Recorded Reeeived Parmi! and ¡nspeellon Fees
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In the performance of this work tho undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to be bounden by end
submit to all statutes, city ordinances, and rules and regulations prescribed by the Boord of ~ks for the government 01 Plumbers.
It Is luther agreed by the undersigned that no other uses will be made 01 the above connections exc
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Plumbing In,podo'