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PLUMBING PERMIT - Oshkosh, Wisconsin Permil N~ 8923
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L~o. I Block I Ward
OUTSIDE WORK
I Addition or Replat
Date
NIW SEWEll WAtEII StORMS fEES ""s I RELAY S. SEWE. WAtER StORMS FEES
From Mam 10 Cwb Seplic Tanks From Main 10 Curb
FIom Curb 10 BuDding 1/1(';1: 111/f"óÞ X~ Electric Pumps From Cwb 10 Building
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Repair
INSIDE WORK
NO. NEW U,. USED ..OS NO. I~ REP. USE. ""s N°'1 NEW UP. USE. FEES
B8ib Tub / IkJ aubago Dispooals Catch Basins
7 -
Wash Basin 1/,hI Dish......b.... Conductors
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W- CI_t I/¡-ð Laundr- Gre..... Catch Basins
SlnIc "/ I/kJ Wate" Softeners Sump Pump !k Ejeclors I /tf-t
W_H_n j / /KJ Soniiuy Bubblers Bar and Soda Wasles
ShowN BUbs Urinals
F1oO1' Dr'" 7 /¡IC) Dentai Cuspidors
La""dIy Tubs Service Sinks
I"'pecIi~ ~ ./ Valuation of the Wo~k Herein Described Fee Verified. Receipled and Recorded Received Permi! and Inspection F-
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In thlt performance of this work the undersigned owner (or his authorized agent) of said ",emi,e. and his authorized Plumber her.by agre. to b. bounden by and
submit to all statutes, city ordinances, and rul.. and regulations prescribed by the Soal-d of Public Works for the government of Plumbers.
Jt is futhe. agreed by the undersigned that no other uses will be made of the abO"I" conn~C~i~=-~~__---.._._--._..._-----_.._._--
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