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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N<? 413
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I Lot No. I Block I Ward I Addiiion or Replat
OUTSIDE WORK
Date
NEW SEwn WATE. STORMS FEES FEES RElAY S. SEWER WATE. STORMS FEES
From MaID to ClUb Septic Tanks From Main to Curb
FIom ClUb to BuDding Electric Pumps From ClUb to Building
Repair ~ /Oi)
INSIDE WORK
110.
NEW
RI..
NEW
FEES
NEW
FEES
.EP.
USED
UIID
NO.
.EP. I USED
NO.
HES
Batb Tub
Garbage DiopoIaIs
Dishwashers
Catch Basins
.1-
Wuh Basin
Conductorl
Watar CI_t
Laundrarnatl
Graue Catch Basins
Sink
Watar Softene..
Sump Pump II: Ejecto..
Water Heaters
Sanitary Bubblero
Urinalo
Bar and Soda Wastes
Shower Batho
Floor Dr8lu
Laundry Tubo
Dental Culpidoro
Ser-rice Sinks
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Fee Verified. Receipted and Recorded
Received Permit and Inlpectlon F...
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Inopoctiono nOullide
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In the performance of this work the undersigned owner (or his authorized agent) of said premises and his authorl.ed Plumber heraby agree to be bounden by and
submit to all statutes, city ordinances, and rules and regulations prescribed by tha Board of Public Works for the government of Plumbars.
It Is futher agreed by the undersigned that no other uses will be made of the above connections except as hereinalter listed.
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