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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 649
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I Lot No. I Block I Ward I Addition or Replot
OUTSIDE WORK
Date
NOW SEW" WATER STORMS FEES FEES RElAY S. SEWER WATER STORMS FEES
From MaIn to Curb Seplic Tanks From Main to Curb
nom Curb to BuDding ,~ .........-- ~ Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO.
NEW
....
FEES
USID
NO.
NEW
.... I USED
FEES
11O.
NEW
TEES
....
USED
Bath Tub
Garbage Diapooalo
Diahwuhers
Conducto..
Catch BuÙ1ll
Wuh Buin
WatH Cl_t
LaundramatJI
I--
Grease Catch BuÙ1ll
Sink
Watar Softene..
Sump Pump II< Ejecto..
Water Heaters
Sanitary Bubble..
Bar and Soda Wastes
Shower Baths
Urinals
Floor Dralu
Dental Cuspidors
Laundry Tubs
Service Sinks
Inspections Valualion of Ihe Work Herein Described Fee Verified. Recelpled and Recorded Received Permit and Inspecllon F...
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In the performance of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to be bounden by and
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.
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