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PLUMBING PERMIT - Oshkosh, Wisconsin
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I I Lo.I No. ' I Block I Ward
OUTSIDE WORK
Perm\! N~ 1051
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In Add\!ion or Replat
Date
NEW S.w.. WATE' STORMS F..S ...S "'AY S. S.W.' WAT.' STORMS ...S
From MII!D to Curb Septic Tanks From Main to Curb
From Curb to Dundlng Electric Pumps From Curb to BuUlÜng
Repair
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INSIDE WORK
NO.
NEW
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..,. I US.. I FEES
FEES
NO.
USID
...S
NO.
N.W
N.W
..,.
US..
Bath Tub
Garbage Diapooa!s
Catch BuIDs
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Wub BaslD
Diabwashers
Conductors
Water CIOI8t
Laundramab
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Greue Catch Basins
SID1I:
Water Softeners
Sump Pump 8< Ejectors
Water Heate..
Sanllary Bubblers
Bar and Soda Wastes
Shower Baths
Urinals
Floor Dr8IDs
Launclrr Tubs
Dentat Cuspido..
Service Sinks
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Valualion of the Work Herein Described
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Fee Verified, Receipted and Recorded
Received Perm\! and Inspection Fe..
--_.I'm?!.-()n.n_..-.Sewer Fees
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In the performence of this work the undersigned owner (or hi, authorired agent) of said premises and his authorired Plumber hereby agree to be bounden by and
submit to all statutes, city ordinances, and rules and regulations prescribad by the Board of Public Works for the government of Plumbers.
It Is futhar agreed bJF.1lha undersigned that no other uses will be mode of the above connections except as hereinelter listed.
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