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PLUMBING PERMIT - Oshkosh, Wisconsin
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I Lot No. I Block I Ward
OUTSIDE WORK
Slreet Permit N'.? 9554
..- K~ber j..1.20....~....~_..._..
~n or Replot
Date
NIW SEwn WATER STORMS fEES fEES RELAY S. SEWER WATER STORMS fEES
From Main to Curb Septic Tanks From Main to Curb
nom Curb to BuDding Electric Pumps From Curb to BuUding
Repair
INSIDE WORK
NO.
NEW
REP.
NO.
NEW
NO.
fEES
NEW
REP. I USED
REP. I USED
fEES
USED
fEES
Bath Tub
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...2.
L
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Sanitary Bubblers
Bar and Soda Wastas
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Garbage Disposah
Catch Basins
Wash Basin
Dishwashers
Conductors
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Graase Catch Basins
Laundramats
Wat.. Cl_t
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Sink
Water Softene..
Sump Pump Be Ejecto..
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Water Heote..
Sho.... Baths
Urinals
Floor Dr8ÙUI
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Dentel Cuspidors
Leunc!ry Tubs
IDSPOdIons
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Service Sinks
Fee Verified. Receipted and Recorded
Received Permit and Inspection Fees
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V~tion of the Work Herein Described
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In the performance of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agrae to be bounden by and
submit to all statutes. city ordinance.. and rule. and regulations prescribed by the Board of Public Works for the government of Plumbers.
It Is futher agreed by the undersigned that no other uses will be made of the above connections excel!Y1ls »reinaftor listed.
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