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PLUMBING PERMIT - Oshkosh, Wisconsin Permll N'.? 9087
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I Lol 11'0. -------_J Block I Ward ______1 Addll;on or Repl&!
Date
OUTSIDE WORK
NEW S'WEI WATEI S'ORMS FEES FEES IELAY S. SEWEI WATEI STORMS FEES
From MaIn to Curb Seplie Tanks From Main 10 Curb
From Curb Ie BuDding Eleelrie Pumps From Curb to Building
Repair
.
INSIDE WORK
NO.
NEW
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NO.
NEW
NO-
fEES
NEW
IEP.
USEO
IEP. I USED
FEES
US"
FlES
Bath Tub
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Sanitary Bubblers
Bar end Soda Wasles
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Garbage DlaposaJo-IL
Dishwashers L1-
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Cúch Basins
Wash Basin
Conduc!o..
Grease Catch Basins
Leundramats
Walar Closst
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Siak
Water Softeners
Sump Pump Be Ejeelors
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Water Heaters
ShowerBúhs
Urinals
Floor DraIDa
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Service SiDles
Denial Cuspidors
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Laundry Tubs
IDipeclions
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Valualion of Ihe Work Herein Described
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Foe Verified. Roceiplod and Recorded
Received Permit end InspectioD Fees
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In the performance of this work the undersigned owner (or hi. authorized agent) of .aid premises and his authorized Plumber hereby agree to be bounden by end
submit to ell 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 mede of the ebove connections "ré~"Ws hereinaftar listed.
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