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PLUMBING PERMIT - Oshkosh, Wisconsin Permil N<.?
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I Lot No. I Block I Ward I Addüion or Replat
OUTSIDE WORK
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165
NIW SIWEI WATER STORMS FEES FEES RELAY S- SEWER WATER S'ORMS FEES
From MaIn to CW'b Septic Tanks From Main 10 Curb
From CW'b to BuDding Eleclric Pumps From CW'b to Building
Repair
INSIDE WORK
NO-
NEW
UP-
NEW
fEES
REP. I USED
FEES
NO-
US"
flES
NO.
NEW
REP.
USED
L
..L
1-
1.
I
-7
;/
-/
,/
,/
Bar and Soda Wastes
Garbage Dlspooals
Cetc:h Basins
BathTub
¡¿Q
d)ð
Conduclors
Dlsbwashers
Wuh Basin
.æll
I/,a)
,./
¿co
Laundromab
Grease Catch Basins
W- CI_t
r--
/,00
Sump Pump" Ejeclors
,/'
1
Water Softeners
SIIIk
Sanitary Bubblers
I,Oi>
WÙ8r H.at...
Shower Baths
Urinals
I
-/
Denial Cuspidors
II, (}Z)
F1oor Drains
Laundry Tube
Service Sinks
Valuation of the Work Herein Described Fee Verified, Receipted and Recorded Received Permit and Inspecllon Fees
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In the .ierformanc. of this work the undersigned owner (or his authorized agent) of said premises and his authorired Plumber hereby agree to be bounden by end
submit to all statutes, city ordinances, and rules and regulations prescribed by Ihe Soard of Public Wo,ks for the government of Plumbers.
Inspecllons
II Is futher agreed by the undersigned that no olher uses will be made of the above connections except as hareinaller IIsled.
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