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PLUMBING PERMIT - Oshkosh, Wisconsin Permll N~ 9488
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I Block I Ward
OUTSIDE WORK
I AddUlon or Replal
I Lot No.
Dale
N"" SEWEI WATE. STORMS 'EES FEES .ELAY S. SEW" WATE. STORMS FEES
From MaIn to C...b Sepllc Tanks F~m Main 10 Curb
I'Iom C...b to BuDding Eleclrlc Pumps From C...b 10 Building
Repair
INSIDE WORK
NO. NEW RIP. USIO HIS NO. NEW .EP. USE. FEES NO. NEW REP. USE. FEES
/ ;'00 - - ~ - - ~
Beth Tub Gerbage Dispooals Catch BulDs
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Wuh Buln Dishwuhen Conduclors
- - ~ - -
Waier CIONI / (,00 Laundramais Greue Calch BulDs
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Sink Waler Softeners Sump Pump" Ejedors
Waler Healers Sanllø:ry Bubblers Ber and Soda Wasles
Show... Baibs Urinals
noor Dr8lm Denial Cuspidors
- - -
Laundry Tube Seni... Sinks
Inspections V~UalIOn of the Work Herein Described Fee Verified. Receipled and Recorded Received Permil and Inspection Fees
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.:.1:!pÙ:::::::: Fees
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In the performance of this work the undersigned owner (or his euthorized agent) of said premises and his author ired Plumber hereby agree to be bounden by ODd
submit to all statutes, city ordinances. and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
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