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PLUMBING PERMIT - Oshkosh, Wisconsin
N<? 1639 ¡
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Permit
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I Lot No.
I Block I Ward
l Addition or Replat
Dat.
OUTSIDE WORK
NSW ssw.. WAY" STORMS FE" FE" RELAY S. SSWSR WATER STORMS ms
From MaIn 10 Curb Seplic Tanks From Main 10 Curb
FIom Curb 10 BuIlcling Eleclric Pumps From Curb 10 Builcllng
Repair
INSIDE WORK
NO. NEW UP. USED lIES NO. NEW UP. USED FEES NO. NSW RSP. USED fEES
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BaIh Tub Garbage D1a~ Catcb Bulns
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Wub Buin Dlabwuhen - Conduclors
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Water Cl_1 Laundramat8 Gre... Catch Bulns
/Y -
SIJIk 4r~ Water Softeners Sump Pump 8< Ejeclors
I Sanitary Bubblers Bar and Soda Wules L
Wùo. Heat... /
Shower Baths Urinats
1-
Floor Dra1D8 Denial Cuspidors
Laundry Tubs Service Sinks
Jaapec:tioM Valualion of Ihe Work Herein Described Fee Verified. Receipled and Recorded Received Permit and Inspeclion F...
--.--.........--................-..............Oulaide $.....:5.2..$..",.90..............................- ............................Sewer Feee
........._..............._......................._.....Jnslde ...@.."..P.PPlbg. Fees
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In the performinci of this work the undersigned owner (or his euthorired Igent) of said premises Ind his luthorired Plumber hereby Igree to be boundln by ond
submit to III statutes, city ordinlnces, and rules and regulltions prescribed by the Board of Public Work. for the government of Plumbers.
It Is futher egreed by the undersigned thlt no other uses will be mlde of the Ibove connection. except as hereinefter listed.
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