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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 9123
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I Block I Ward
OUTSIDE WORK
I Addition or Replat
! Lot Ho.
Date
Naw SEwn WATER STORMS fEES "ES RELAY S. SEWE. WATE. STORMS fEES
From MaIn to Curb Septic Tanks From Main to Curb
~ Curb to BuDding 'fl/C!;{ / Mea? ¡,tS~ÒO Electric Pumps From Curb to Building
Repair
INSIDE WORK
110.
NEW
UP.
NEW
fEES
REP. I USED
fEES
"0.
NEW
USED
fEES
NO.
.EP.
USiD
Batb Tub
Garbage DiIponlI
Catch Baslos
Wub Basin
Dishwashers
Conductors
Water Cl_t
Laundromats
G.e... Catch Bulos
r--
Sink
Water Softeners
Sump Pump II< Ejectors
Water Heaters
Sanitary Bubblers
Bar and Soda Wastes
Shower Baths
Urinals
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noor Dr8lm
Dental Cuspidors
Laundry Tuba
Serrice Sinks
Impactions _._-------Outolde
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Valualion 01 the Work Herein Described
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Fee Verified. Receipted and Recorded
Recjved PermÌi and Inspection Fees
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In the performance of this work the undersigned owner (or his authorlred agent) of said premises and his authorlred Plumber hereby agrea to be bounden by and
submit to all statutes. city ordlnancas. and rules and reguletions prescribed by the Board of Public Works for the government of Plumbers.
It is fulher agreed by the undersigned that no other uses will be made of the above connections except as hereinafter listed.
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Plumbing In..-.,
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