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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~
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I Lot No. --.ml_. Block I Ward I Addition or Replat
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166
Date
OUTSIDE WORK
NEW SEW" WAtER STORMS FEES FEES .ElAY S. SEWE. WAtER STORMS FEES
From MaiD 10 C...b Seplic Tenks From Main to Curb
........ C...b to BuDding Electric Pumps From C...b to Building
Repair
INSIDE WORK
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NO.
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USED
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Sump Pump Be Ejectors
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Garbage DÏI~
Catch Basills
Bath Tub
Dishwashers
Conductors
Wasb Basin
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LaundrlUl1Ù8
Grease Catch Basills
Water CI_t
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Water Softeners
Sink
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Sanitary Bubblers
Bar and Soda Wastas
Wu.r Heate..
Shower Baths
UriDaIa
Dental Cuspidors
Floor DraIDs
Leundry Tullo
Service Sinks
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Valualion of the Work Herein Described
Received Permit and Inspection Fees
.....h..hh.h....h.h.hSewer Fees
.......!~..f).ÇL..plbg. Fees
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Date -Ih- 2-/7 Z
Fee Verified. Receipted and Recorded
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In the performance of this work tho undersigned owner (or his euthorized agent) of said premises and his authorized Plumber hereby ogre'. to bé' bounden by and
submit to all statutas. city ordinancas. and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It Is futher agreed by the undersigned thet no other uses will be meda of the above connactions axcapt as hereinafter listed.
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