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PLUMBING PERMIT - Oshkosh, Wisconsin
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I Lot No. I Block I Ward
OUTSIDE WORK
Sireel Pormi! N°
N:~ber ._..---__lY_.Q--------~
I Addi!ion or Replal
Dale
NEW SEWE. WATER STORMS 'EES 'EES RElAY S. SEWER WATER STORMS 'EES
From MaIn 10 Curb Seplic Tanks From Main 10 Curb
From Curb 10 BuilcIIDg Electric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO.
NEW
nES
NEW
RE'. I USED
NEW
'EES
REP.
USED
'EES
1<0.
IE,.
USED
NO.
BaIh Tub
Gurbage DispoleJo
Caleb Bulm
I-----
Wub Buin
Dishwuhers
Conduclors
WeIH CI_I
Laundramalo
Gre..... Calch Bulm
Sink
Wain Sofleners
Sump Pump" Ejeclors
f--'--
Water Hoalors
Sanilary Bubblers
Bur and Soda Wasles
Sho..... Baths
Urinals
Floor Dralu
Denial Cuspidors
Leunclry Tubo
Service Sinks
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Valu~lo~f Ihe Work Herein Described
'Mb 6ò
$-----------------------~---------------------------_._--.__.-------
$-
0
Fee Verified. Receipled and Recorded
Received Parmi! ane! Inspoclion F...
------------------------.Sewor Feea
__/Lð:ð.-_--PIhg. F..s
zf'£ð.a-----_Tolal
J~..il{). 7?
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.-------.-.-.----------
-Final OK
Dale
In tho psrformance of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to be bounden by ...d
submit to all statutes. city ordinances. and rules and regulations prescribed by the Boord of Public Works for the government of Plumbers.
It Is futhor agreed by the undersigned that no other U$Os will be made of the above connectioJlf except as hereinafter listed.
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