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PLUMBING PERMIT - Oshkosh, Wisconsin .. permU'? 9385
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I Lo.I No. I Block I Ward I~n or Replat
OUTSIDE WORK
Date
NI'N Slwn WATE' STORMS fEES fEES ,ElAY S. SEWER WATE' STORMS nES
From Mún to CU1'b Septic Tanks From Main to Curb
nom CU1'b to BuDding Electric Pumps From CU1'b to BuUding
Repair
INSIDE WORK
NO.
NEW
RIP.
USED
"ES
NO.
NEW
'EP. I USED
'EES
"O.
NEW
'EP.
USID
....
Búb Tub
Garbage Diopooab
Catch Bulna
Wuh BuiD
v
;ø-
Conductoro
Dishwuhero
Water CIONt
LaundramIWI
Gre.... Catch Bulna
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Sink
ILl
v~
Sump Pump III: Ejecloro
Water Softenero
Wúer Heaten
Saniiary Bubblers
Bar and Soda Wule.
Shower Búbo
Urinals
noor Drains
Dental Cuspidon
Laundry Tubs
Seni... Sma
Insped1ons
------------------------------------------Oubide
-----------------------------------------------Inside
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Valuation of the Work Herem Described
Received Permit and Inspection Fees
------------------Sewer F...
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Fee Verified. Receipted and Recorded
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Date
In the performance 01 this work tho undersigned ownar (or hi. authorizad agent) of .aid preml.es and his authorized Plumber hereby agree to be bounden by and
submit to all statutes, city ordinances, and rule. and regulations prescribed by the Board of Public Work. lor the government 01 Plumbers.
It is luther agreed by the undersigned that no other use. will be made 01 the abova connections except as hereinalter listed.
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