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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N<2 9683
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I Lot No. ~ _1 Ward I Addition or Replat
OUTSIDE WORK
Date
--
NEW SIW" WAf.. STORMS FI.. FI.. RELAY S. SEW'R WATER STORMS lIES
From MaIn 10 Curb Septio Tanks From Main 10 Curb
From Curb 10 BuDding Electrio Pumps From Curb 10 Building
Rapair
INSIDE WORK
NO.
NEW
RIP.
NO.
NEW
RIP. I USED
NO.
N'W
FI..
REP.
USED
lIES
USED
FlES
BaIb Tub
Garbage DiIpose1a
Caic:h Buins
Wub Buin
Dishwuhen
Conduotors
WatM CI_I
Laundramals
Grease Catch Buins
r---
Sink
Water Softeners
Sump Pump 8< Ejeotors
Water Heaten
j
f
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Bar and Soda Wastes
Sanilary Bubblers
Shower Baths
Urinals
Floor Dralu
Dental Cuspidors
Laundry Tubs
Senioe Sinks
lnspecllons --__--Outside
~=::::::::::::===::=::::=:=::::::_-_._-_.______Inslde
~uatio~of tbe Work Herein Described
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$-------------------------..--..-----.----
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Fee Verified. Receipted and Recorded
Received Permit ancllnspectioD Fe..
------------Sawer Fees
4ð_c2_plbg. Fees
_>l./..í?-O--._.-_Tolal
Date JL~
-----------.---------Fina1 OK
$-------------.--.-------.--- ---.-------------------------
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In the performance of this work the undersigned owner (or hi, authorired agent) 01 said premi,es and his authorired Plumb&r hereby agrae to be bounden by and
submit to all statutes, city ordinances, and rules and regulations prescribed by tbe Board of Public Works for the government 01 Plumbers.
It is luther agreed by the undersigned that no other uses will ba made 01 the above connection, except as hereinalt,!!-listed.
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~ PlumbIng Ino.-.,
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