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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N<.? 1484 ~
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I Lot No. I Block -I Ward
OUTSIDE WORK
I Addition or Replat
Date
NOW SlWIa WAlIa STORMS FE" FEES R"AY S. SEWER WATER STORMS fEES
From MaIn to C...b Septic TRnks From Main to Curb
FIorD C...b 10 BuDding Electric Pumps From C...b to Building
Repair
INSIDE WORK
110.
NEW
UP.
NO.
fEES
FEES
"O.
NEW
REP.
USiD
NEW
REP. I USED
USED
fEES
Batb Tub
Garbage DlapoAls
Catch Baslm
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Wuh Basin
Dlabwashers
Conductors
Walos Cl_t
Laundramats
Grease Catch Baslm
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Sink
Water Softeners
Sump Pump Be Ejectors
I
v
Sanitary Bubblers
Bar and Soda Wastes
j,1JC
Water Heaters
ShowerBa1b8
Urinals
Floor Dralno
Dental Cuspidors
Laundry Tuba
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Service Sinks
Fee Verified. Receipted and Recorded
Valualion of the Work Herein Described
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Received Permit and Inspection Fe..
---..----------------_--8ewer Fees
---_L.:@.-___plbg;7Fees
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In the performance of this work tha undersigned ownar (or his authorized agent) of said premises and his authorized Plumber hereby ~ be bounden by end
submit to all statutes. city ordinances. and rules and regulations prescribed by tha Board of Public Works for the government of Plumbers.
It Is futher agreed by the undeJ:signed that no other uses will be made of the above connections except as hereinlner listed.
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