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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N?
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I Lot No. I Block I Ward
OUTSIDE WORK
I Addition or Replal
Dale
NIW SEwn WAYER STORMS fEES fEES RELAY S. SEWER WATER STORMS fEES
From MaIn to Curb Seplic Tanks From Main 10 Curb
From Curb 10 BuUdIog Eleclric Pumps From Curb 10 Buildh1g
Repair
INSIDE WORK
110.
NEW
fEES
u,.
USED
fEES
NO.
NEW
IE,. I USED
fEES
NO.
NEW
IE,.
USED
Bath Tub
Garbage DiIpooaIa
C8Ich BaslDs
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Wub Basin
Dishwashers
Conductors
Water CI_t
Laundr-
Grease Catch Basins
I-----
SIDk
Waler Softeners
Sump Pump II: Ejeclors
Waler Heale..
Sanitary Bubblers
Bar end Soda Wastes
Shower BBIbs
I <;>/1.
'ßú/~
Urinals
Floor DraIDs
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f /
~
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Dental Cuspidors
Laundry Tubs
Senice Sinks
Impactions Valuation of ~Work Herein Described Fee Verilied. Receipled and Recorded Received Permit and Inspection Fees
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In the performlnce of this work the undersigned Dwnlr (or his luthorired Igent) of said premises and his authorired 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 th,..".,dersigned that no other uses will ba made of the above connections except as hereinafter listed.
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