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~ PLUMBING PERMIT - Oshkosh, Wisconsin Permit N<;? 768
!lame . , ,/ Name Street
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I Lot No. I Block I Addition or Replat
OUTSIDE WORK
Dat.
NEW SEW" WATE. STORMS fEES "ES , .ELAY S. SEWE. WATE. STORMS "ES
From MaIn 10 Curb Septic Tanks From Main 10 Curb
h>m Curb 10 BuUdIng Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO.
NEW
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NO.
NEW
FEES
NEW
FEES
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USED
"o.
.E.. I USED
USED
FlES
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Water Seiteners
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Catch BuIns
Garbage Diopooals
Bath Tub
Wub Basin
Dishwashers
Conduclors
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Graue Catch Basins
Water Clooel
Laundramais
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Sump Pump 8< Ejectors
SIDk
Water Heaters
'11"0
Sanitary Bubblers
Bar and Soda Wasles
Shower Baths
Urinals
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Dental Cuspidors
Floor Dr"'"
Laundry Tuho
Inspeclions
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Service Sinks
In the performance of this work the undersigned owner (or hi, authorized
Received Perml1 and InspectIon F-
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..i/!...~....nPIhg. Fees
n.iLLIZP..dh.Tolal
Date/~i/7 '7
agent) of said premi,es and hi, authorized Plumber hereby agree to be bounden by and
V~uat: O?Ork Herein Described
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Fee Verified. Receipted and Recorded
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submit to all statutes. city ordinances. and rules and regulations prescribed by the Board of Public Works for the government