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PLUMBING PERMIT - Oshkosh, Wisconsin Permit Nr: 8592
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L~otHO' I Block I Ward I AddiHon or Replat
OUTSIDE WORK
Dale
NEW SEwn WAUl STORMS 'EES fEES .ElAY S- SEWER WATER STORMS 'EES
From MaID 10 Curb Septic Tanks From Main 10 Curb
From Cwtb to BuIlcllnø Electric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO.
NEW
""P.
USED
flES
NO-
NEW
.EP- I USEO
'EES
NO-
NEW
.EP.
USE.
flES
BaI:h Tub
Garbage DiøpoeaIs
Caleb Basins
Wub Basin
Waler Cb81
7
I
I--
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I/òó
Dishwashers
Conducto..
LauDdrIlD1a!ll
Gre..... Caleh B...ins
81D1e
Waler Softene..
Sump Pump 8< Ejeclors
Waler Heaten
8M"'" .BaIbe
/
Bar and Soda Wasles
L 6ð
Sanitary Bubblers
Urinals
Floor Drains
Dental Cuspidors
LaUDClzy Tubs
Service Sinks
IDlpectioDl Va~ion. oithe. Work Herein Described Fee VeriiiecL Receipled and Recorded Received Permit aDd. Inspection Fees
-----_d_-----__---Oulsfde $ -fj ,2,. ¿J 6 ..ú!> -_dd___----d___---_d---Sewer Fees
--------_dd_-------------wide _--_d- d__-----d---- ------__-d_--_____-----_d_. _---d_...:L.:l.o._-PIbg. Fees
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In the poriormance of this work the undersigned owner (or his authorized agent) of said premls.s 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 tor the gov.rnment of Plumbers.
It Is futher egreed by the undersigned that no otber uses wili be made of the ebove connections except as hareinaner list.td.
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