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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 9392
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I Lot No.
I Addition or Replat
r::--- I Ward
Date
OUTSIDE WORK
NEW SEwn WATER STORMS fE" 'EES RELAY S- SEWER WATER STORMS fEES
From MaiD to C\U'b Septic Tanks From Main to Curb
From C\U'b to BuDding Electric Pumps From C\U'b to Building
Repair
INSIDE WORK
NO. NEW up- USED "ES NO. NEW REP. USE. lEES NO. NEW REP. USE. FEES
- - -
IIùb Tub Garbage DiI~ Catch BuiDs
Wub Buin Dilhwashen Conductors
- - - - -
Wat.. Cl_t Laundramats Gre.... Catch Bulna
-
SIAk Water Softeners Sump Pump" Ejectors
Water Heat... Sanitary Bubblers Bar and Soda Wastes L /þ
Show.. Baths Urinals -
noor Dralna Dental Cuspidors
Laundry Tubs Service Sinks
1naped1ona Valuation of the Work Herein Described Fee Verified. Receipted and Recorded Received Permit and Inspection F-
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In the performance 01 this work the undersigned owner (or hi, authorized agent) of said premises and his authorized Plumber hereby agree to be bounden by and
submit to all statutes. city ordinances. and rules and regulations prescribed by the Board of Public Works lor the government 01 Plumbers.
It Is luther agreed by the undersigned that no other uses will be made 01 the above connections except as hereinalter listed.
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