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PLUMBING PERMIT - Oshkosh, Wisconsin
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I Lot No. 'I Block I Ward
OUTSIDE WORK
Slraet
and
Numba. m_-
Permit N'.: 970~
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I7
Daie
I Addition o. Replat
NEW SIW.. WATE' STORMS FI.. FI" RELAY S. SEWI. WATE' STORMS FI..
From MaID to Curb Septic Tanks From Main to Cu.b
FJom Curb to BuUcII.ng .4"12..( )' c::... F£ Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO.
NEW
usm
NIW
RIP. I USI.
FI"
NO.
RIP.
Baib Tub
Garbage Diapooak
Diahwashen
f---
Wuh Basin
-
Waier CI_t
Laundramm
SIDk
Wain Softene..
Waie. Heaie..
Sanitary Bubble..
Urinals
8ho.... BaIIu
Floor DraIDa
Dental Cuspido..
Laundry Tubs
I...pectio...
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-----------..-..----------------_____.m._-___--m-Imide
Se.vice Sinks
Fee Verified. Receipted and Recorded
Valuation of the Work Herein Described
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$.
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Date
FEES
NIW
FI"
.IP.
USI.
tlO.
Cafch Baslna
Conductor.
G.e... Catch Baslna
Sump Pump I< Ejecto..
Bar and Soda W...tes
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Received Permit and Inspection Fees
mnJn~....Sewer Fees
::::::"Z~:~::~ Fee.
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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 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 mode of the above connections except as hereinafter listed.
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