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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N<1 9584
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~' ~Name ~
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1- _Block I Ward
I Addition or Replat__-
I Loi No.
Date
OUTSIDE WORK
NEW SEW" WATER STORMS FEES FEES RELAY S, SEWER WATER STORMS fEES
From MaIn to C...b Seplic Tanks From Main to Curb
Fzom C...b to B Ù!cllng Electric Pumps From C...b 10 Building
Repair
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INSIDE WORK
NO,
NEW
11'-
NO.
FEES
FEES
NO.
NEW
R". I USED
NEW
RE,. I USED
USED
FlES
Bath Tub
Garbage DispoA!a
Dishwash...
Conductors
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Catch Basins
Wuh Basin
Wat.. Cl_t
Leundramats
Greue Catch Basins
I-
Sink
Water Softeners
Sump Pump It Ejectors
WaI8. Heate..
Sanitary Bubblers
Bar and Soda Wastes
Show.. Baths
Urinals
Floor DraIDa
Denial Cuspidors
Laundry Tubs
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Serrice Sinks
Valualion of Ihe Work Herein Described
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Fee Verified. Receipled end Recorded
Received Permit and Inspection F-
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In the performance of this work the undersigned owner (or hi, authorized agent) of said premi.e, and hi, authorized Plumb.. hereby agree to be bounden by ond
submit to ell statutes. city ordinances. and rule. and regulalion, prescribed by the Bond of Public Works for the government of Plumbers.
It Is futher agreed by the undersigned that no other use. will be made of the above connections e
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