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PLUMBING PERMIT - Oshkosh, Wisconsin. Permit N<: 9202
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Dale
I Lot No.
r:Ck I Ward
I Addition or Replal
OUTSIDE WORK
NIW SEwn WATER STORMS FEES FEES RELAY S. SEWER WATE' STORMS fEES
From MaiD to C\U'b Seplic Tanks From Main to Curb
From C\U'b to BuDdlng Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO.
NEW
RE..
NEW
NEW
FEES
USED
RE'. I USED
FEES
NO.
RE'.
USED .~I NO.
BaIb Tub
Garbage Disposals
Catch Basins
I Me
//:10
Wub Basin
7
I
Dishwashers
Conductors
Gre... Calch Basins
Laundramals
Waler Clooet
f----
í'
Sink
Waler Softeners
Sump Pump" Ejectors
Waler Healers
Sanitary Bubblers
Bar and Soda Wastes
Show.. Balbe
Urinals
F-'
-I
i
Floor Drains
Dental Cuspidors
Laundry Tubs
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Service Sinks
Fee Verified. Receipted and Recorded
va'lion of the Work Herein Described
$--------7!..Q-_o..~_.qß------------------------_._-------_.-
Received Permit and Inspection F-
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D~~--øg;~:;lal
--~-----~-';iÓ---f---7'..-------------------_____Inside
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$-------------------------.---------------------------.----------.---------
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In tha performance of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to ba bounden by and
submit to all statutes. city ordinances. and rules 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 except as he.reij1after listed.
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