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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 9076
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OUTSIDE WORK
I Addilion or Repl,,!_-
Date
NEW SIWEI WAUl STORMS ..IS ..IS .ILAY S. SEWI. WAUl STORMS filS
From MaIn to Curb Seplio Tanks From Main to Curb
~m ClUb to BuDding Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO.
NEW
NO.
NIW
.IIS
.IP. I USED
filS
NO.
NIW
.IP.
USED
RIP.
USID
..IS
Batb Tub
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1
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Bar and Soda Wastes
Garbage Disponls
Catch Basins
Wesb Basin
Dishwashers
Conductors
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Gre... Catch Basins
LaundrODlats
Watu CIONt
~
Water Softeners
Sump Pump" Ejectors
I
SIDk
Sanitary Bubblers
Water Heaters
Showu Baths
Urinals
FIoĊ Drelns
1.
/
Service Sinks
~
V,d"V
Dental Cuspidors
1-'-'-
La\IDdry Tubs
~:~:_:_----------._-------------____Outside
Valuation of the Work Herein Described
Fee Verified. Receipted and Recorded
Received Permit and Inspection Fees
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Date
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In the performance of this work the undersigned owner (or his euthorired agent) of said premises and hi. author ired Plumber hareby agree to be bounden by and
submit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the governmant of Plumbers.
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It is futher agreed by the undersigned that no other uses will be made of the above connections exce,
'r6inaft.r listed.
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