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PLUMBING PERMIT - Oshkosh, Wisconsin
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- I "BlOCk I Ward
Slzeet Permit N~ 1754
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l Lot No.
I Addition or Replat-
Date
OUTSIDE WORK
NIW SEwn WAIER STORMS FEES FE" RELAY S. SEWER WAIER STORMS FEES
From Maln to C....b Septic Taaks From Main to Curb
From C....b to BuDding Electric Pumps From C....b to Building
Repair
INSIDE WORK
NO.
NEW
III'.
FEES
USED
FEES
NO.
NEW
REP. I USED
FEES
"0.
"EW
REP.
USED
Batb Tub
Gerbage DÙlpooala
Catch BasIDs
Wuh Buin
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Dlshwuh...
Conducto..
Laundramats
Wat. CI_t
Grease Catch Buins
Sink
Water Softeners
Sump Pump 8< Ejectors
Water Heaten
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Ber and Soda Wastes
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ILl
p-
sanUary Bubblers
Show. lIatbs
Urinlls
Floor Dralu
Leunclry Tube
Dental Cuspidors
". " Service Sinks
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Fee Verified. Receipted and Recorded
I...pections ....---......Out&lde
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Received Permit and Inspection F...
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In the psrformance of this work the undersigned owner (or" his authorized agent) of said premises and his authorized Plumber hereby agree to be bounden by and
submit to ell statutes. city ordinances. and rules and regulatiol) l prescribed by the Board of Public Works for the government of Plumbers.
It Is futher agreed by the undersigned that no other uses will be made of the above connections except as herelnalter listed.
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