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PLUMBING PERMIT - Oshkosh, W'
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I Block I Ward
I Addition or RepbU
Permit N° 9 6 6~
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Street
and
Number ---
I Lot No.
Date
OUTSIDE WORK
NEW SEwn WAtER STORMS ".. ".. RSLAY S. SEWER WAtER STORMS FEES
From MaIn 10 Curb Septic Tanks From Main 10 Curb
FIom Curb 10 BuDdIng Electric Pumps From Curb 10 Building
Repair
INSIDE WORK
110.
NEW
USID
NEW
"O-
"..
".W
REP.
USE.
REP. I USE.
FEES
II"
NO.
....
Ba!b Tub
/
:2.
eX
I
I
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Ca!cb Bums
/
Garbage DilpoIIIIa
Wuh Basin
Dilhwuhen
Conductors
/
11"-<>
Greue Catch Bums
Water CION!
LaundrlUllllU
Sink
Water Softeners
Sump Pump III: Ejectors
I
/-N
Sanilazy Bubblers
Urinals
Bar and Soda Wastes
Water Heaten
ShowerBaIbs
noor DraIDa
/
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Denial Cuspidon
Laundry TubI
Service Sinks
~:~~fR/-2~u_----_------__0uIside :a;;2~fJ~ ~ Herein Described Fee Verified, Receipted and Recorded Re<:~iV:~h~:~=II_:":e:ns::llon Fees
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In the performance of this work the undersigned owner (or his authorized 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.
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r listed.
It I, futher agreed by the undersigned that no other usas will be made of the above connections"
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