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PLUMBING PERMIT - Oshkosh, Wisconsin
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I Block I Ward
Permit N? 1070
Street /-:1 'Î S-.c- / -- <:'-
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I Lot No.
I Addition or Replat
Date
OUTSIDE WORK
NOW SEW" WAtER STORMS FEES FEES RELAY S. SEWER WAtER STORMS FEES
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From MaIn 10 Curb vC- lev Seplic Tanks From Main to Curb
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From Curb 10 BuDding / c- Electric Pumps From Curb 10 Building
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INSIDE WORK
110.
NEW
USED
NEW
NO.
FEES
NEW
REP.
USED
REP. I USED
FEES
FEES
NO.
REP.
Bath Tub
Garbage Dispos8Js
Catcb Basins
Wub Basin
Dishwashers
Conductors
Water CIOI8I
Laundramab
Gre... Catch Basins
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SIDIo:
Water Softeners
Sump Pump" Ejectors
Waler Heaten
Sanitary Bubblers
Bar and Soda Waste.
Shower Baths
UriDala
Floor Dr8IDI
Dental Cuspidon
Laundry Tubo
Service Sinks
Inspeclions Valualion of Ihe Work Herein Described Fee Verified, Receipted and Recorded Received Permit and Inspection Fees
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In the performence of this work the undersigned owner (or his authorized agent) of said premises end his authorized Plumber hereby agree to be bounden by and
submit to all statutes, city ordinances, and rules and regulations prescribed by the Bo.ard of Public Works for the government of Plumbers.
II Is futher agraed by the undersigned that no other uses will be made of the above connections except as hereinafter listed.
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