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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 839
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I Lot No. I Block I Ward I Addition or Replat
Dat.
OUTSIDE WORK
NEW SEWEI WATER STORMS lEES lEES RELAY S. SEWER WATER STORMS fEES
From MaIn to ClU'b Septic Tanks From Main to Curb
~ ClU'b to Building Eleclric Pumps From Curb 10 Building
Rapair
INSIDE WORK
NO.
NEW
REP.
USEO
"'S
NO.
NEW
REP. I USEO
lEES
NO.
NEW
REP.
USEO
fEES
Bath Tub
Garbage Diapon1o
Cùcb BaslDs
Wub BaslD
Diabwasbera
Conductors
WatN C_t
LaundrIUDÙS
Gre... Catch BaslDo
I--
SInk:
Water Soften.rs
/
II "'V
Sump Pump II< Ejectors
Water H.aten
sanUary Bubblers
Bar and Soda Wastes
Sbow.. Batha
Urinals
Floor Dralna
Laundry TubR
Dental Cuspidors
Service SiDb
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Received Permit and Inspection Fe..
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Date
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Valuation of the Work HereiD Described
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Fee Verified. Receipted and Recorded
.
In the Performance of this work the undersigned owner (or his authorired 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.
It Is futher agreed by the undersigned that no other uses will be made of the above connections except as here inaner listed.
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