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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 9773
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¡ Block I Ward
I L<>iHo.
I Addition or Replal_-
Dale
OUTSIDE WORK
NIW slWn WATER STORMS FEES 'liS RILAY S. SEWER WATI. STORMS FEIS
From MaIn 10 Curb Seplic Tanks From Main 10 Curb /
him Cvb to BuUdtog Electric Pumps F~om Curb 10 Building ¡/ ~
Repair
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INSIDE WORK
NO.
NEW
UP.
NIW
'liS
RIP. I USED
FEES
NO.
NIW
.IP. I USED
USE.
..IS
NO.
_Tub
Gubage Dilpooa]a
Calch Bulwl
I--
Wub Buin
Dilhwashen
Conductors
Wal.. Clooel
Laundnmab
G~ease Calch Buins
I--
SIDk
Waler Sofleners
Sump Pump 8< Ejeclors
Wale~ Heale..
Sanilery Bubblers
Bu and Soda Wastes
Show.. Balbs
Urinals
FJ.oooo ~aInS
Laundry Tube
Denial Cuspidou
Service Sinks
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'ltalion of the Work Herein Described
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Fee Verified. Receipled and Recorded
Received Permit and Inspeclion Fe...
-------------------_n_-----Sewer Fees
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Dale
In the performance of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agr.. to be bounden by end
submit to all statutes. city ordinances. and rules and regulations prescribed by Ihe Board of Public Works for Ihe government of Plumbers.
It Is futher agreed by the undersigned Ihat no other u..s will be made of the above connections excepi as hereinalter
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