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PLUMBING PERMIT - Oshkosh, Wisconsin
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L~ot_NO' I Block I Ward
OUTSIDE WORK
1194 X
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Permit
N'?
Street
and
... Number
Addition or Replat
Date
NEW SEW" WATE' STORMS 'EES FEES 'ELAY S. SEWE' WATE. STORMS 'EES
Fzom MaIn to Curb Septic Tanks From Main to Curb
nom Cmb 10 BuDding Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO.
NEW I "P. 1 USEO I "ES I NO.
'EES
NEW
"P. I USE.
FEES
NO.
NEW
'EP. I USED
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Bath Tub
Gazbage DiIpoIaIs
Catch Bulns
Wub Buin
Dishwuh...
Conductors
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Water CI_t
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LaundramaIR
Greue Catch Buins
/
Sump Pump" Ejectors
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koo
Sink
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Water Softeners
Waler Heate..
8hower Baths
Sanitary Bubblers
Urinals
1-
Baz and Soda Wastes
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F1~ ~e1D8
Laundry Tubs
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Dental Cuspido..
Service Sinks
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.. L)ßi......CZ¡. 9;1',2................ Oulaide
..................................._.....................Insid.
Valuation of the Work Herein Described
$_.1..15ZJ:¿::.........m.............................
.
Fee Verified, Receipted and Recorded
Received Permit and Inspection Fees
- ....._...............8ower Fees
....__..J':..QO.....Plbg. Feel
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-Final OK
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City T'."""
In the performance of this work the undersigned owner (or his authorized agent) of slid premises and his authorized Plumber hereby egree to be bounden by and
submit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
the undersigned that no other usas will be made of the above connections ex~ept as hereinalte.. isted.
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