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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N'? 9054
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I LoJ No. ~ I war: I Addition or Replat
OUTSIDE WORK
Dat.
NEW SEwn WATER STORMS FEES FEES RELAY S. SEWER WATER STORMS FEES
From Mab>. 10 Curb Seplic Tanks From Main 10 Curb
From Curb to Building Electric Pumps From Curb 10 Building
Repair
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INSIDE WORK
NO.
NEW
....
NEW
REP. I USED
FEES
FEES
"O.
NEW
REP.
USED
USED
FlES
NO.
Baib Tub
Garbage DlIpceaIo
DlIhwuh...
Catch BulDl
Wuh Buln
Conductors
Waiez CI0I81
Launclrama.bl
Gre... Catch BulDl
t--
Sink
Water Softene..
Sump Pump 8< Ejectors
Weier Heat.rs
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sanUary Bubblers
Urinals
Bar and Soda Wastes
Ii ,rV
Shower Baths
FlOOI' Dr8Ú1l
Laundry Tubo
Denial Cuspidors
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Service Sinks
laapedions ---.-._..---.OuiBide
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Fee Verified. Receipled and Recorded
Received Permit .and Inspaellon Fees
-----------------------Sewer Foes
---:/:2:~::::::; Fees
Date ---3. /d. 7 t:>
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In the performance of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to be bounden by end
submit to all statutes, city ordinances, and rules and regulations prescribed by the Soard of Public Works for the government of Plumbers.
It Is futher agreed by the undersigned that no other uses will be mede of the above connections except as hereinafter listed.
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