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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 1236><:"
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I Lot No.
r=-:-u I Ward
I Addition or Replst
Date
OUTSIDE WORK
NEW SEwn WATE' STORMS FEES 'liS 'I'AY S. SEWS' WATE' STORMS filS
From MIIIn to Curb Septic Tanks From Main to Curb
bon> Curb to sundlng Electric Pumps From Curb to Building
Rapair
INSIDE WORK
NO.
NEW
II'.
~NO.
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NIW
'1'. I USED
FEES
NO.
NIW
'1'.
FEES
USED
USED
Bath Tub
/
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-.L
IL
L
/
Dental Cuspido"
Garbage DilpooaiI
Catcb Buino
Conductoro
Dilbwuhers
Wash Buln
Watu CloRet
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Grease Catch Buino
Laundramats
/
Sink
Watar Softenero
Sump Pump Be Ejectoro
W- Heate..
Sanitary Bubblers
Bar and Soda Wastes
Urinals
Showu Batho
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noor DraIDs
Laundry TubE I / I I I/V I Service Sinks
I...pectlolIS Valuation of the Work Herein Described Fee Verified. Receipted and Recorded Received Permit and Inspection Fe..
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In the performance of this work the undersigned owner (or his authorized agent) of said premis.. and his authorized Plumber hereby agree 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.
It Is futher agreed by the undersigned that no olher uses will be made of Ihe above connections excepl as hereinafttr listed.
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PlumbIng 1",.::::..r=:'~-F7-'
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