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PLUMBING PERMIT - Oshkosh, Wisconsin Permil N? 9451
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I Lot No. I Block i Ward
OUTSIDE WORK
Name
ot
Plumber
Dala
I Addüion or Re >laI
NEW SEWn WATER STORMS FlES 'EES RELAY S- SEWER WATER STORMS 'E'S
From MaIn 10 Curb Seplic Tanks From Main 10 Curb
hom Curb 10 BuDding Eleclrlc Pumps From Curb 10 Building
Repair
INSIDE WORK
110. NEW u.- usm FEES NO. NEW RE.. USE. FlES 1<0.1 NEW RE.- USE. FlES
- - -
BaIb Tub Garbege DIIpooah - Calch Basins
Wub Basin Dishwashers Conduciors
- - - - -
WaiN Cloaal Laundr- Grease Calch Basina
-
SIDk Waler Sofleners Sump Pump" Ejeclors
Waler Haata.. 7 )?JL Sanüuy Bubblers Bar and Soda Wasles
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ShOWN BaIhs Urinals
noor Draina Denial Cuspido.. I-------
Laundry Tuba Sernce Sinks
IDSpaclions l/¡Z~-~:r_: --=:~: :_:::=_:: Fee Verified, Receipled and Recorded Received Permi! and Inspecllon Feea
-----------------------------------------____-Oulside -----------------------_----Sewer F...
----------------------------------------------------Inside ------/~.ab_----_PIbg. F..s
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In the perf.rmance of thi, w.rk the undersigned owner (or his authorl%ed egent) of said premise, and hi, authorized Plumber hereby agree to ba bounden by and
submit to all 'tatutes, city ordinances, and rules and regulation, prescribed by the Board of Public Works for the government of Plumbers.
It Is futher agroed by the undersigned that no other uses will be made of the above connections exce~
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