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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~' 928
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~I Lot No. I Block I Ward I Addition or Replat
OUTSIDE WORK
Date
NEW SEW" WATER STORMS fEES fEES RELAY S. SEWER WATER STORMS fEES
From MaIn to Curb Septic Tanks From Main to Curb
FJom Curb to Building Electric Pumps From Curb to Builcüng
Repair
INSIDE WORK
NO.
NEW
RIP.
flES
NEW
REP. I USED
fEES
NO.
NEW
REP.
fEES
USED
USED
NO.
Bath Tub
Garbage Dlapooa1l
Catc:h Bulm
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Wuh Buln
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DiJhwuhen
Conductors
Grease Cateb Bulm
LaundramIIÙ
Water Cl_t
f--
Sink
Water Softeners
Sump Pump Ik Ejectors
Water Heate..
Sanitary Bubblers
Bar and Soda Wutes
Shower Balba
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1-
Urinala
noor Dralna
Dental Cuspidors
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Laundry TubII
Service Sinks
I...pecllons Valuation of the Work Herein Described Fee Verified. Receipted and Recorded Received Permit and Inspection Fees
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In the performance of this work the undersigned owner (or his authorired agent) of said premises and his authorired Plumber hereby .graa to be boundan 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 u..s will be mad. of tho above connections except as hereinafter listed,
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