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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N': ~ß
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LI..oJ__NO. I Block I Ward I AddUion or Replat
OUTSIDE WORK
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NEW SEWEI WAlE. STORMS 'EES 'EES .ELAY S- SEW" WAY" STORMS "ES
From MaiA to Curb Seplic Tanks From Main 10 Curb
FJo... ClUb to Building Eleclric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO. NEW REP. USID ..'S NO. N'W .'P. USE. ms I No- NEW .'P. USE. "ES
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BaIb Tub Garbage Dilpoea]s Co.tch lIIasi...
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Wuh Basill Dilhwashero Conduclors
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WatH CI_t LalU1dramab Grease Co.tch Basills
SIBle Wo.ter Softeners Sump Pump 8< Ejeclors
Water Heo.ters Sanitezy Bubblers Bar and Soda Wasl...
Shower Baths Urinals ,,//',-7, -1'> A T" / !trv
Floor Dr"'" .Denlal Cuspidors
Laundry Tubs Service Sinks
IDlpectioDl Valuo.tion of the Work Herein Described Fee Verified. Receipted and Recorded Received Permil and Inspection Fees
--------------------------Oubide :) d '!--z> ---------.------------Sewer Fees
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$---------------------------------_m___- ----¿-~~._- Total
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......L!!~ :1 -------Fillal OK $------------------------------------------------ Do.te
In Ihe performsnce of Ihis work Ihe undersigned owner (or his authorized agent) of seid premises and his authorized Plumber hereby agree to be bounden by and
submit to all statutes, city ordinances. and rules and regulations prescribed by ~.rd of Public Works for the government of Plumbers.
Jt is futher agreed by the undersigned that no other uses will be made of the obove connections except as 'r!reinafter listed.
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