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PLUMBING PERMIT - Oshkoslt;\
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I LoJ No. I BlOCk- I Ward
OUTSIDE WORK
1- Addition or Replat
Permit N~ 9955
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Date
NBW SIWEI WAtER STORMS FBBS FBBS RILAY S. SEWER WATER STORMS FBBS
From MaIn 10 Curb Septic Tanks From Main to Curb
From Curb 10 Bundlng Electric Pumps From Curb to Building
Repair
INSIDE WORK
110. NIW UP. USEo HES NO. NEW REP. USED fEES NO. NEW REP. USED fEES
-
Bath Tub Garbage DIs~ Catch Basins
Wash Basin Dishwashers Conductors
- - - - -
WatN CI088t Laundrama!s Gre... Catch Basins
-
Sink Water Softeners Sump Pump 8< Ejectors
Waler Heaters / '"' V_DC sanUary Bubblers Bar end Soda Wastes
ShOWN Balm UrinaJs
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FIoœ DraiDs Dental Cuspidors
- - -
Laundry Tub8 Service Sinks
Inspections Val:3*ion 01 the Work Herein Described Fee Verilied. Receipted and Recorded Received Permit and Inspecllon Feas
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In the performance of this work the undersigned owner (or his euthorized 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 Is futher agreed by the undersigned that no other uses will b. mede of the above connections
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