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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 144
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Dei. ' -- ---- Lot No. - -- Block Ward - - Addition or Replat
If.....
of
Plumber
OUTSIDE WORK
NIW SIW" WATER STORMS '""S '""S RELAY S- SEWER WATER STORMS filS
From MaID to Curb Seplic Tanks From Main 10 Curb
FIom Curb 10 BuDding Electric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO.
NEW
UP.
NO.
NIW
RIP- I USE.
NO.
NIW
""S
RIP. I USED
filS
USED
FRIS
B8ib Tub
Garbago D~
Dlshwuhon
C8ich BulDl
f-------
Wuh Buin
Conduclors
Wei. Cl_t
Laundramab
Grease Ceich BulDl
f-------
Slak
Weier Bofton.rs
Sump Pump Ik Ejectors
i
L
Sanitary Bubblers
Bar and Soda Wul..
I. ()()
W8i8r Hwors
Show. B8ibs
Urinala
F1oor Dr"
Laundry Tub<
Denial Cuspidors
Service Sinks
IDlpecllons
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Valuation of the Work Herein Described
Fee Verified. Receipled and Recorded
Received Permll and Inspection Fees
--------------------------80wor Fees
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In the psrlormence 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 all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It I. futher sgreed by the undarslgned that no other uses will be mede of the above connections exceRt as hereinafter listed.
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