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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N? 9765
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I Block I Ward
¡ Lot No.
I Addition or Replat
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Date
OUTSIDE WORK
NEW SIWEI WATIR STORMS FlES FIlS RIIAY S. SIWIR WATIR STORMS FEES
From Mein to ClUb Septic Tanks From Mein to Curb
III /'OJ 1f~ aD
~ ClUb to Building Electric Pumpa From ClUb to Building . G~t'
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Repeir
INSIDE WORK
NOo
NEW
NO.
"O.
FlES
NEW
RIP. I USED
FIES
NEW
RIP.
UP.
USID
FEES
USID
Bath Tub
Garbage Dioposa1s
C8Ich Basins
I-----
Wuh Basin
Dishwashers
Conductors
Water CI_t
LaundrlSlWlts
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Grease Catch Basins
Sink
Water Softeners
Sump Pump 8< Ejectors
Water Heaters
Sanilazy Bubblers
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Bar end Soda Wastes
Shower Bathl
Urinels
noor Drains
Dental Cuspidors
Laundry Tube
Inspections
Service Sinks
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R~e3~.ãQ~-S:::e:n;,:lion Fees
_,./'I..OÖ_...PIbg. Fees
.£-.1r-.qz.__.__Total
Date 1/-d23. Î b
Fee Verified, Receipted and Recorded
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In the performence of this work the undersigned owner (or his euthorized agent) of said premises and his authorized Plumber hereby agree to be bounden by ond
submit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It Is futher egreed by the undersigned that no other uses will be made of the above connections except as hereinafte
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