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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N? 9764
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I~ I Ward
OUTSIDE WORK
I Addition or Replat
Date
l Lot No.
NEW SEWEI WAtER STORMS fEES fEES RELAY S. SEWER WAtER STORMS fEES
From MaID. to Cub Septic Tanks From Main to Curb
From Cub to BuDding Electric Pumps From Cub to Building
Repair
INSIDE WORK
NO. NEW RI,. USED RES NO. NEW REP. USE. fEES NO. NEW REP. USE. fEES
/ - - -
Bùh Tub l/flö Garbage Dlapocab Catch Baslnt
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Wash BasiD I-DC Dishwash.... Conductors
I - - - - -
Water CI_t J.'(} b Laundrarnall Grease Catch Bulnt
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SIDk 2~t Water Softeners Sump Pump Ik Ejeclors
Water Heat.... / /ßt Sanitary Bubblers Bar and Soda Wastes
Show.. Batha Urinals
Floor DraI.Da Dental Cuspidors
- - -
Laundry Tube Serrice Sinks
InRpectlons -:{jluation of the Work HereiD Described Fee Verified. Receipled and Recorded Received Permit and Inspection F...
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In the performance of Ihis work Iha undarsigned owner (or his authori.ed agent) of said premises and his authorl.ed Plumber hereby agrea to be bounden by and
submit to all statutes. city ordinance.. and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
I! Is futher agreed by the undersigned that no other uses will be made of the above connections except as herd...f.
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