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PLUMBING PERMIT - Oshkosh, Wisconsin
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I Block I Ward
Permit N~ 9591
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I AcI~lio_n or Replat
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OUTSIDE WORK
NEW SEwn WATER STORMS FE" FE" R'LAY S. SEWER WAT'R STORMS FE"
From MaID to Curb Seplic Tanks From Main to Curb
FMm Curb to Bundlng Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO. NEW REP. USED ".. NO. NEW R'P. USED fEES "0. NEW REP. USED FE"
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Bath Tub IJJ(;; Garbaga DÏIpoGa1s Calch Baslne
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Wuh Basill :3 j>J), Dishwashers I Conducto..
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Wet... Cl_t 3 e1. ~ Laundnmau ~ðo Gre... Catch Baslne
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SIDk Water Softeno.. Sump Pump I< Ejecto.. ,!-¿
WÚ8I' Hoaton / jßó Sanitary Bubblers Bar and Soda Wastos
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Sho..... Batlul /~ Urinals
noar DraIDa / /. "6 Dental Cuspidon
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I Laundry Tubs I / I I V 001 I Service Sillks I I I I I I I I I
Inspactions ';?t. ualion of tho Work Herein Described Fee Verified. Receipted and Recorded Received Permit and Inspeclion Fees
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In tho psñormance. of thi. work the undersigned owner (or his authorired agent) of .aid premises and his authorlred Plumber hereby agrea to ba bounden by and
submit to all statutas. city ordinance., and rules and regulations prescribed by the Board of Public Works for the government of Plumbe".
iI Is futher agreed by the undersigned that no other u5O' will be made of the above connections except as hereinaltar listed.
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