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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N'? 1591-1
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'I Lo.I NO~ I Block I Ward I Addüion or Replat
OUTSIDE WORK
Date
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Ni.. SEwn WAIER STORMS fEES fEES R"AY S. SE"ER WATER STORMS FEES
From MaiD to Curb Septic Tanks From Main to Curb
!'10m Curb to Bulld1ng Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO. NEW u.. USED FlES NO. NEW RE.. USEO fEES NO. NEW RE'. USED fEES
- - - -
/ Bath Tub /' ;- I Garbage Di8pooaI8 v /~ Catch Basins
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J Wuh Basin ,/ 3- I Dishwashen / C Conductors
- - - -
~ Wat.. Cl_t ,,/ 2- I Laundramala .,/ /'-- Gre... Catch Basins
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L Sink /' ;- Water Softeners I Sump Pump Ik Ejectors V' ¡"'---
/ Water Heaten ;/" I- Sanitary Bubblers Bar and Soda Wastes
I Shower Bathe ,/" - Urinals
I FloĊ Dr8IDs ./ I- Dentel Cuspidors
Laundry Tubs Service Sinks
IDlpections Valuation of the Work Herein Described Fee Verified. Receipted and Recorded Received Permit and Inspection Fees
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In the performance of this work the undersigned owner (or his authorized agent) of said premises and his authorired Plumber hereby agreé 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 JlJe undersigned that no other uses will be made of the above connections except as hereinafter listed.
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PLUMBING PERMIT APPLICATION
PLUMBER '4...
DATE
NAME OF WNER ADDRESS
1 14e-Dr 1 2 D/e 3-- 7
NEW SAN. WATER STORM RELAY SAN. WATER STORM
Main to Curb Main to Curb
Curb to Bldg. Curb to Bldg.
Elect. Pumps Repair
Septic Tanks
NEW REP. NEW REP. NEW REP.
Bath Tub Gar. Disposal Catch Basin
Wash Basin Dishwasher Conductors
Water Closet Laundramats Grease C.B.
Sink Water Softener Sump Pump
Water Heater San. Bubblers Bar Wastes
Shower Bath Urinals Range Boiler
Floor Drain Dental Cuspidors j Future Outlets