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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N<? 925
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I Lot No. I Block I Ward I Addilion or Replal
OUTSIDE WORK
Date
NIW SEWD WATER STORMS fEES fEES RELAY S. SEWER WATER srORMS fEES
From MaIn 10 Curb Seplic Tallks From Main 10 Curb
FIom Curb to Building Eleclric Pumps From Curb 10 Building
Repair
INSIDE WORK
110.
NEW
"P.
REP. I USEO
fEES
fEES
NO.
USID
fEES
NO.
NEW
NEW
REP.
USED
Ba!b Tub
L
(
I
1
L
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Catch Basins
~
~
~
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..-0
Garbage DiopoIaII
Dishwashers
Conductors
Wash Basin
/
)n1
Greua Catch Basins
Laundramais
Water CI_I
~
Water Softeners
Sump Pump" Ejeclors
/
SID1o:
Sanitary Bubblers
Bar and Soda Wasl..
Wa!er Heaters
Shower Ba!hs
Urinals
n..... Drelns
/
Denial Cuspidors
11 rd
Laundry Tubs
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Service Sinks
Valualion of Ihe~ork Herein Described
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Received Permit and Inspeclion Fees
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Fee Verified. Receipled and Recorded
..........................................................Inside
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Dale
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In the perlormence of thi. work the unde..igned owner (or hi. authorired agent) of .aid prem!.e. and hi. authorired Plumber hereby agree to be bounden by ond
submit to all .tatut.., city ordinences, and rules and regulations prescribed by the Board of Public Works for the government of Plumbe...
It Is futher agreed by the undersigned thet no other U50S will be made of the above connections except a. hereinafter listed.
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