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PLUMBING PERMIT - Oshkosh, Wisconsin
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I Lot No. ~___nmJ Block I Ward I Addilion or Replat
Permil NC: 9513
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Dale
OUTSIDE WORK
NIW Slwn WATER STORMS FE" FE" RELAY S. SEWER WATER STORMS FEES
From MaIn 10 Curb Septic Tanks From Main 10 Curb
~m Curb to BuDding Electric Pumps From Curb 10 Building
Repair
INSIDE WORK
110.
NEW
UP.
NO.
NEW
REP. I USED
NEW
FEES
REP.
USIO
FEES
liD.
USED
....
B&Ih Tub
Garbage DiIpooaIs
Catch Basins
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Wash Basin
Dlab...asben
ConduciotO
Wat8t CI_t
Laundtamais
Greue Calch BuIDs
I-
SIIIk
Water SoftenetO
Sump Pump 8< Ejeclors
Wai8t Heaten
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Soniiary BubbletO
Bar and Soda Wasles
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Sho..... Baths
Urinals
F1oor DraIDs
Denial CuspidotO
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Leundry Tube
Inspections
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Service Sinks
Fee Verified, Receipled and Recorded
Received Permit and Inspecllon Fees
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Dale 9. J ' "/({,
Valuation of Ihe Work Herein Described
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City T,...u."
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In the performance of this work the undersigned owner (or hi, authorired agent) of ,aid 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 the undersigned that no other uses will be made of the above connections except as hereinafter listed.
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