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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 9639
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I Lot No. I Block I Ward ---_J Addition or Replat
OUTSIDE WORK
N-
ot
Plumller
Date
HIW SEWEI WATER STORMS '..S '..S ..LAY S- SEW.. WAT.' STORMS fEES
From Main to Curb iPA IJ jt' 'f-OiJ From Main to Curb
C'J,J' Septic Tanks
I
!'10m Curb 10 BundID" Eleclric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO. NEW u,. USED HES NO. NEW u,. US.D ,... NO- N.W ..,. US.D ".S
- - -
Bath Tub Garbage Diopooals Catcb BulDs
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Wuh Buin Dishwuhen - Conducloll
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Water CI_t LaundrlUl1ats Grease Catch Buina -
Sink Water Softenell Sump Pump II< Ejeclors
Water Heaters Sanitary Bubblers Bar and Soda Wastes
Shower Batha UriDais 1-
- -
noor Drehuo Dental Cuspidors
- - -
Leundry Tubs Service Sinks
Inspec:t1ons Valualion of the Work Herein Described Fee Verified. Receipled and Recorded Received Permit and Inspecllon Fe..
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In the performance of this work the undersigned owner (or his authorized agent) 01 said premises and his authorized Plumber hereby agree to be bounden by and
submit 10 all statutes, city ordinances, and rules and regulations prescribed by the 8_oard of Public Works for the government of Plumbers.
It I. futher agreed by the undersigned thet no other use. will be mede of the above connections except as hereinafter listed.
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