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PLUMBING PERMIT - Oshkosh, Wisconsin
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Loot No. b j Ward
OUTSIDE WORK
Name
of
PlwaJoer
Dale
P~rmil N°-
SùMI .
N~bar _../Xii...._.... ....... - ---. --. -...-..
l Addilion or Rapist
NIW slwn WATER STORMS filS filS RELAY S. SEWER WATER STORMS fEES
From MaIn 10 Curb Septic TaDks From Main 10 Curb
........ Curb 10 BuUcllnll ijJ~ jlj,r", ~m Electric Pumps From Curb 10 Building
"
Rapalr
NO.
RIP. I USED IRIS I NO.
NEW
Batb Tub
Wuh BuJD
W- Clooel
Sink
Water Heate..
Sba... Batbs
Fl...... DraIDI
Laundzy Tuba
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INSIDE WORK
NEW
RIP. I USED
FlES
NO.
NEW
REP.
USID
,..S
Gubage Dlapooala
Caleb BuiDa
Dlabwuhan
CDnduclo"
Laundramats
Greua Catch Bulna
Water SofIeners
I--
Sump Pump Be Eiaclo"
sanUary Buhbla..
Bu and Soda Wules
Urinals
Denial Cuspido..
Service Sinks
Valualion of Ihe WOr\Herein Described
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Fee Verified. Receipled and Recorded
Received Permit and Inspection F-
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Date J/ç/Í) '7
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In the performsnce of this work the undersigned owner (or his euthorired agent) of said premises end his author ired Plumber hereby egree to be bounden by end
submit to ell 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.