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PLUMBING PE. RMIT. - Oshkosh, Wisconsin Permit N? 8498
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I Lot Ho. b I Ward I Addition or Replat
OUTSIDE WORK
Date
NEW SIWEII WAil. sroRMS "ES 'EES 'ELAY S. ""'E' WATE. STORMS ms
From MaID to Curb Septic Tanks From Main to Curb
~ Curb to BuUdlD Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO. NEW RIP. USSI> "ES NO. NEW .EP. USE. FEES NO. NEW REP, USED "ES
Bath Tub / Garbage Dispoeals Catch Easins
Wuh BaslD I Dishwashers Conductors
1- - -
Water Cl....t / Laundramats GrelUl8 Catch Basins
SiDle Water Softeners Sump Pump lit Ejectors
Water Heaters Sanitary Bubblers Bar and Soda Wastes
Sho..... Batbø Urinals
Fl- Drains Dental Cuspidors
Laundry Tubo Senice Sinks
Inapections Valuation of the Work Herein Described Fee Verified. Receipted and Recorded Received Permit and Inspection Fees
---------------- --.- Outside $ .L-t.?:::Þ:::1L"':"~_n__n__.__...._------- ---n..-----..-..-....sewer Fees
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In the performance of this work the undersigned owner (or his authorized agent) of said preml.es and his authorized Plumber hereby agree to be bounden by and
submit to all statutes, city ordinances, and rul" and regulations prescribed by the Board cf Public Works for the government of Plumbe...
It is futher agreed by the undersigned that no other uses will be made of the abon connections except os hereinalter listed.
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