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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 9951
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t Lot No. I Block I Ward I Addition or Replat
OUTSIDE WORK
Date
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NIW SEwn WATE. STORMS fEES fEES 'ELAY S. SEWE. WATE' STORMS 'EES
From MaIn to Curb Septic Tanks From Main to Curb
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Fmn Curb to Building Electric Pumps From Curb to Building
Repair
INSIDE WORK
_I
INSIDE WORK
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110. NEW u,. USED FIE' NO. NEW 'EP. USE. 'EE. NO. NEW 'EP. USE. 'EES
Batb Tub Garbage Dispooab Catch Bums
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Wub Buin Dishwuhon Conductors
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Water CI_t Laundramats Gr- Catch Bums
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Sink Water Softeners Sump Pump" Ejectors
Water Heaters Sanitary Bubblers Bar and Soda Wutes
Shower Baths Urinals
FJODl' Drains Dental Cuspidors ~
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Leundr)" Tube Serrice Sinks
Inspections ~alion of tho Work Herein Described Fee Verified, Receipted and Recorded Received Permit and Inspection Fees
-------------------------------------------Outside $-----~G:(L______-------------------------------------- --:Z::_Ç?ú::--:::~r F:7
--'------------------'-------------------------------Inside
=zJ:iiZ"Ç..~~~;;;;¡-¡'; $-------------------------------------------.-----------------------------. --;t=-_/è:__'?D..--- Total
$----.------.-------------------------------------.------------------ ---- ------------------ë:lí;;-T;;;;~;~;-------------------------' Date c:f. -- If", . "7 7
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In the performance of thil work the underligned owner (or his authorired agent) of said premises and his authorired Plumber hereby agree to be bounden by and
lubmit to all statutes, city ordinances, and rulel and regulations prescribed by the Board of Public Workl for the government of Plumbers.
It II futher agreed by the undersigned that no other uses will be made of the above connection'J except as hereinaftar listed.
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