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PLUMBING PERMIT - Oshkosh, Wisconsin Permil N~ 1592-b
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I Lot No. I Block I ward__J- Addilion or Replal
OUTSIDE WORK
Date
NEW SEW" WATE' STORMS FEES FEES 'ELAY S. SEWE' WATE' STORMS fEES
From MaIn to Curb Seplic Tanks From Main 10 Curb
Fzom Cub to Building Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO.
NEW
USID
.... I NO.
NEW
FE"
NEW
USED
fEES
'EP. I USED
NO.
'EP.
UP.
:L
g
~
fl..
;Z
Im~
Grease Catch BulDs
:L
2.
:<
BathTub
Garbage DIa~
Caleb Bulns
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;/
/'
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Wub BulD
Dlahwuhers
Conductors
Laundramats
Wat. CI_t
/
Sump Pump" Ejectors
,./
//
Water Softeners
SIDk
;/'
sanUuy Bubblers
Bar and Soda Wasles
Water Heate..
Shower Batha
UriDaIa
1-
~
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Denial Cuspidors
FIooo DrIliDs
Laundry Tube
Service Sinks
Inspecl1ons Valualion of Ihe Work HerelD Described Fee Verified. Receipted and Recorded Received Permit and Inspecllon Fees
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In the performance of this work the undersigned owner (or his authorl.ed agent) of said premises 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 t e nderslgned that no other uses will be made of the above connections except as hereinafter listed.