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PLUMBING PERMIT - Oshkosh, Wisconsin
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I Block I Ward
OUTSIDE WORK
Permit . N~ 9~~7_,G
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Street
and
Number
I Lot No.
¡ Addition or Replat
Dale
NIW $lWEI WATER STORMS fEES "'S RELAY S. SEWER WATER STORMS "'S
Foom MaiD to Curb Septic Tanks From Main to Curb
""'m Curb to BuDding Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO.
NEW
RI..
USED
NEW
REP. I USED
NO.
USED
FEES
NEW
REP.
FEES
PIES
NO.
BathTub
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I
I
I
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Dental Cuspidors
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I
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Caich Basw
Garbage Disposals
Dlshwuhen
Conductors
Wash Basin
Greue Calch Buw
Laundramals
WaI... CIONt
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SIDk
Waler Softeners
Sump Pump 8< Ejectors
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Water Heale..
Sanitary Bubblers
Urinals
Bar and Soda Waste.
Show... Baths
noor Dr"'"
Laundry Tubs
Service Sinks
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Valuation of the~rk Herein De.cribed
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Fee Verified. Receipted and Recorded
Received Permit and Inspection F-
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City T,...u",
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Date
-F1DaI OK
In thol perlornlance of this work the undersigned owner (or hi. authorired agent) of .aid premIse. and his authorlred Plumber hereby agree to be bounden by and
.ubmlt 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 hereinalt".. listed.
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Plumbo,