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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N? 8529
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LLot No. I Block I Ward I Addition or Replat
OUTSIDE WORK
Date
Naw SEWEll WAlE. STORMS ISES "'5 .ElAY S. S""E' WAlE. STORMS "'5
From MIIiD to Curb Septic Tanks From Maïn to Curb
FI'om Curb to :liluilcllng Electric Pumps From Curb to Buildmg
Repaïr
INSIDE WORK
NO.
REP- I USED I .... I NO.
"..
NEW
NEW
.EP- I USE.
ms
NO.
NEW
.EP. I USE.
Bath Tub
L
I
1
L
I
¡W
II c--Gi
I- a-d
t~
-
Garbag" DiIpoc&la
Catch Bum.
Wash Buin
Dishw""hen
Conductors
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J
¡.trO
Water Cloøt
Laundr-
ar...... Catch »UÙUI
SIDk
Water Softeners
I
Sump Pump 8£ Ejeclors
II ,rd
Water Heat.....
Shower Baths
Sanitary Bubblers
Bar and Soda Wastes
Urùtals
Fl- DraIDs
Denial Cuspidors
Laundry Tubs
IlIIpeC!Ions
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Service Sinks
Valuation of th~rk Herein Described
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Fee Verified, Receipled and Recorded
Received Permit and Inspection Fees
------....-------------Saw"" Fees
._-----2~.:'..-?-P1bg. Fees
---......-2..~-::!.. Tofal
Date ;1..2F- 7':'-
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In the performance of this work the undersigned owner (or hi. authorized agent) of .aid premises and hi. authorized Plumber hereby agree to be bounden by and
submit to ell statules, city ordinances, and rules and reguiations prescri""d by the Board of Public Works for the government o~ Plumbers.
It Is futher agreed by the undersigned that no ..ther uses will be mode of the above connections exce~)'J"'i'nafter listed.
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