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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N? 9919
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I Lot No. I Block I Ward I Ad~ion or Replat
Date
OUTSIDE WORK
NOW SEwn WAnt STORMS fE" fE" RELAY S- SEWER WATER STORMS fEES
From Mein 10 Curb Septic Tanks From Main 10 Curb
FJom Curb 10 BuDding Electric Pumps From Curb 10 Buücling ~--/
Repair / I/,rd
INSIDE WORK
NO. NEW UP- USED .." NO- NEW REP. USEO fE" "0- NEW REP- US.. fE"
- - - - - -
Bath Tub Garbage Diopooa1s Calch Basins
- -
Wuh Basin Diohwashen 1- Conduclors
- - - -
Water Cl_t Laundramatll Greue Catch Basins
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SIJIII: Water Softeners Sump Pump Ik Ejectors
Water Heaters Sanitary Bubblers Bar and Soda Wasles
Shower Baths Urinals
Floor DzaIDs Denial Cuspidors
Laundry Tub8 Service Sinks
IlSIpecIions Valuation 01 Ihe Work Herein Described Fee Verilled. Recelpled and Recorded Received Permit and ¡nspecllan Fe..
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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 agrae to ba bounden by end
submit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
II 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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