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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N° 9663
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I Lot No. I Block I Ward I Addition or Replat
OUTSIDE WORK
Dale
NEW SEwn WATE. STORMS FEES FEES .ElAY S. SEWE. WATE. STORMS FEES
Fmm MaIn 10 Curb Seplic Tanks From Main 10 Curb
Fmm Curb 10 Building Eleclric Pumps From Curb 10 Building
Repair
INSIDE WORK
110.
NEW
UP.
NO.
NEW
.EP. I USEO
NEW
FEES
.EP.
USE.
FEES
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USED
FlES
BeIb Tub
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Sanitary Bubblors
Bar and Soda Wasles
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Catch Bulm
Garbage Disposela
Wub Buin
Dishwubers
Conduclors
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Gre... Calch Bulm
Laundrama.lo
Watar Clooel
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Sink
Waler Softeners
Sump Pump Ie Ejeclors
1
Waler Heaters
Shower Balbi
Urinals
Floor DraIDa
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Denial Cuspidors
Laundry Tubs
I...pecIio...
Servico Sinks
Fee Verüied, Receipled and Recorded
Received Permil and Inspection F...
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Dale //- Ý. 7?>
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Valualion of Ibe Work Herein Described
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In the performence of thi. work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to be bounden by end
submit to all statutes, city ordinance., and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
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