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PLUMBING PERMIT - Oshkosh, Wisconsin
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Plumber
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_......~_.._.._............m'd Owner .......~ ...... m .. . ... ...... mm.d..m...'-
b l Ward
OUTSIDE WORK
Slreet
and
Humber
N~ 9111
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Parmit
I Lot No.
I Addition or Replai
Dale
NIW SEW" WAYER STORMS 'EES fEES RELAY S. SEWER WATER STORMS 'E"
From MolD to Curb Septic Tanks From Main to Curb
r.om Curb to Building ~he,f I/~'Ý." ' f-Ó(J Electric Pumps From Curb to Building
/ Repair
INSIDE WORK
NO.
NEW
UP.
NO.
NEW
REP. I USED
NEW
fEES
REP.
USED
'EES
"O.
USED
FlES
Bath Tub
G81'bage D18pooa1a
Catch Buw
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Wuh BulD
D18hwuhers
Conductors
WaiN Clooot
LaundrllDUl.b
Greue Calch Buw
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SIDIo:
Waler Softeners
Sump Pump II< Ejectors
Waler Heale..
Sanitary Bubblers
Bill' and Soda Wutes
Show.. Batha
Urinals
Floor Drabuo
Dental Cuspidors
Loundry Tubto
Service Sinks
J1uallon of the Work Herein Described
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Received Permit and Inspection Feeo
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Fee Verified. Receipted and Recorded
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In the performan« of this work the undersigned owner (or hi. authorbed agent) of said premises end his euthorired Plumber hereby .(raa to "'boundan by and
It is futhe. agreed by the undersigned that no other uses will b. made of the above connections exc'
ted.
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Plumbo.
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