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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N<.? 9458
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I Lot No. I Block I Ward I Addition or Replat
OUTSIDE WORK
Date
Naw SEWEll WAIER STORMS FlES FlES RElAY S- SEWER WATER STORMS lEES
From MaIn to Curb Septic Tanks From Main to Curb
,...,... Curb to Building Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO. NEW RE'- usee HES NO- NEW RE'- USED lEES NO- NEW REP. USRD lEES
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Bath Tub Garbage Diopooa]s T Catch Basins
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Wash BaslD 1-0 Dishwashen Conductors
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Water Cl_t Laundramats Grease Catch Basins
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SiDle ~)bC Water Softeners Sump Pump III: Ejectors
Wate\ Heaters Sanitary Bubblers Bar and Soda Wastes
Shower Baths UriDe1s
Floor DraIDs Dental Cuspidors
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Laundry Tubs Service SlDb
Inspections Valuation of the Work HerelD Described Fee Verified. Receipted and Recorded Received Permit and Inspection Fe..
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In the performance of this work the undersignad owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to be bounden by ..,d
submit to all statutes. city ordinances. and rules and rogulations prescribed by the Soard of Public Works for the government of Plumbers.
It Is futher agreed by tha undersigned that no other uses will be made of the above connections
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