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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N<? 9781
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I Block ,I Ward
Date
I Lot Ro.
I Addition or Replat
OUTSIDE WORK
NEW SEwn WATER S'ORMS "ES FEES RElAY S. SEwn WATER STORMS "ES
From M81n 10 Curb Septic Tanks From Main 10 Curb
""'m Curb 10 BWldlog Eleclzic Pumps From Curb to BuUding
Repair
INSIDE WORK
110.
NEW
UP.
NEW
NO.
"ES
NEW
UP.
USEO
REP. I USED
fEES
USED
....
NO.
Bath Tub
Garbage DÙlpooah
DÙlhwuhers
Catch Bulns
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Wuh Buin
Conducto..
Wat.. CI_I
Laundramats
Grease Catch Bulns
t-
SirIk
Water Softene..
Sump Pump 8< Ejectors
Water Heaters
/
Sariliary Bubblers
Bar and Soda Wastes
v.oc
Show.. Baths
Urinals
Floor Drains
Dental Cuspidors
Laundry Tubs
Service Sloks
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Fee Verified. Receipted and Recorded
Received Permit and Inspection Fees
£~~.~.::.£~~r F:7
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Inspections
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Date
In the performance of thi. work the undersigned owner (or his euthorized agent) of said premi.es and his authorized Plumber hereby agree to be bounden by ...d
submit to all statutes. city ordinances. and rules and regulations prescribed by the Board of Public Work> for the government of Plumbers.
It Is futher egreed by the undersigned that no other uses will be made of the above connection. except.. hereinafter Ii.ted.
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