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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 9876
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OUTSIDE WORK
f Addition or Replat
Date
HIW SEWEll WATER STORMS ,... "ES RELAY S. SEWER WATER STORMS lEES
From Mo1n 10 CW'b Seplic Tanks From Main 10 Curb
From CW'b to BuDding Eleclric Pumps From CW'b 10 Building
Repair
INSIDE WORK
110.
HEW
..,.
HO.
HEW
'EIS
RE,. I USED
lEES
"°.
HEW
RE'.
USED
USED
"ES
_Tub
Garbage Diapooals
Catch Bulns
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Wuh Buin
Dishwuhon
Conduclors
Weier Cl_1
Laundramab
Greue Catch Bulns
+-
BIDk
Water Softeners
Sump Pump lit Ejectors
Wotor Haaters
I
Sanitary Bubblers
Bar end Soda Wasles
Ju-()
Shower Búhs
Urinals
Flocn DrolDs
Denial Cuspidors
LoUJIdry Tubs
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Service Sinks
Fee Verified. Receipled and Recorded
Valualion of Ihe Work Herein Described
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$
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Received Permit and Inspection F-
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Dale 1- / 7. '7"7
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In the performance of this work the undersigned owner (or his authorized agent) of said premises and his authorired Plumber hereby agree to be bounden by and
submit to all statutes. city ordinances. and rules and regulations prescribed by the Soard of Public Works for the government of Plumbers.
It Is futher agreed by the undersigned thst no other uses will be made of the above connections except as herainafter listed.
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