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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~) 8635
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I Lot No. I Block I Ward I Addition or Replat
OUTSIDE WORK
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Date
NEW SEWEll WATE. STORMS '""S 'EES RElAY S- SEW" WATER STORMS '"ES
FIom MIûD 10 Curb Seplic Tanks From MllÍn 10 Curb
FIom Curb to BuUd1ng 1'#-'(1.; / !---'" (? ø-- Elaculc Pumps From Cmb 10 Building
I Repair
INSIDE WORK
NO. -NEW REP. USED ...S NO. NEW RIP. USE. "'S NO. NIW REI'. USID fEES
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Bath Tub Gubage DiopoLIals Catch Basin¡¡
Wuh Buin DiRbwashers Conductoro
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Wat... CI"""I Laundramall Gre... Catch Basina
Sink Water Softenero Sump Pump 81: Eje-oioro
Water Heate... Sanilary Bubble.. Bar and Soda W""leo
Show. Bùho Urinalo
Floor ÐraIDs Deotal Cuopldo..
LaU!ldry Tubo Serrice Sinks
lnopectioa Valuation of Ihe Work Herein Described Fee Verified. Raceiplad and Recorded Received Permft and lapaction Fees
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---------.-..-------.--Inalde --_____,L.æ::1L-PIbg. Fees
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In th.. performance of this work the undersigned owner (or his authorized agent) of ..Id premi.e. and his authorized Plumber hereby ogree to be bounden by end
submit to all statutes, city ordinances, and rules and regulations proscribed by the Boord of Public Works for the government of Plumbers.
II Is luther agreed by the undersigned that no other uses will be m..d. of the above connections except a. herelnaftar listed.
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