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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N? 9993
(), ---if Name - ) --I- Sueet /J ,:~'.
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I Block _I Ward
¡ Lot No.
I Addition or Replat
Date
OUTSIDE WORK
NN SEwn WATER STORMS fE.. FEES RELAY S. SEWER WATER STORMS fE..
From MaID to Curb Septic Tanks From Main to Curb
From Curb to BulldIn¡r f "if:£' ///~O» ,tr r;tJd Eleclrlc Pumps From Curb to BuÜCÜJ1g
Repair
INSIDE WORK
NEW
REP.
USE'
fE..
NO.
NO.
NEW
REP.
us..
FlES I NO.
lI~r ~.I
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Bath Tub
L
3-
3'
7
I
/dJrl
Senliuy Bubblers
Bar and Soda Wastes
Garbage Diaposals
Catch BaslDl
Wash Basin
Diabwasbors
Conductors
Gre... Catch Basins
Laundramats
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Water CI....t
Sink
Water Softeners
Sump Pump" Ejectors
Water Heaters
Shower BathR
Urinals
Floor DraIDa
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Dental Cuspidors
Laundry Tubo
Service Sinks
IlUIpectio~ / . J J"V V~ation of Ibe Work Herein Described Foe Verified, Receipted and Recorded Received Permit and Inspection Fees
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In the performonco of this work tho undersigned ownor (or his outhorizod agent) of said premises and his authorized Plumber hereby ogroe to be boundon by and
submit 10 all stotutos, city ordinances, and rulos and regulolions proscribed by the Board of Public Works for the govornmont of Plumbors.
It Is futhor agreed by the undorsigned that no othor uses will bo made of the above connections except os herelnoftor listad.
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