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PLUMBING PERMIT - Oshkosh, Wisconsin
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Permit N~' 65 t
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I Lot No. I Block I :ard
OUTSIDE WORK
I Addition or Replat
Data
NI'tI SEWEt WATER STORMS FEES 'EES RELAY S. SEWER WATER STORMS FEES
From MaiD to Curb Septic Tanks From Main to Curb
From Curb to BuDding Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO.
NEW
REP.
NEW
NO.
"ES
REP. I USE.
'EES
NEW
REP.
USE.
USED
FIlS
NO.
Betb Tub
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Grease Catch Bulns
Garbage Dlapcaals
Catch Buins
Wuh Buin
Dishwuhers
Conductors
Water Clooat
Laundramats
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SbIIr
Water Softeners
Sump Pump II: Ejectors
Water Haata..
Sanitary Bubblers
Bar and Soda Wutes
Shower Baths
Urinals
noor DraIDa
Dental Cuspidors
Laundzy Tubs
IMpactions
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Service Sinks
Fee Verified. Receipted and Recorded
Valu~ of the Work Herein Described
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5.
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Received Permit and Inspection Fees
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In the performance of this work the undersigned owner (or his authorired egent) of said premises and his authorized Plumbe eraby gr 0 be bounden by and
submit to all statutes, city ordinances, and rules and regulations prescribed by the Soord of Public Works for the government 0 lumbers
It Is futher agreed by the undersigned that no other uses will be mede of the above connections except as hereinafter Ii
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