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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 8682
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LI..oi No. I Block I Ward I Addition or Replet
OUTSIDE WORK
Date
NEW SNEll WATEII STORMS flES '""S RELAY S- SEWER WATIR STORMS filS
From MaID to Curb Septic Tanks From Main 10 Curb
From Cub to BuDding Electric Pumpa From Curb to Buildia!!
Repair
INSIDE WORK
)
, NEW I ",P.
NO. NEW UP. USEO ftlS NO. USED "'S NO. NEW RIP. USED FEES
f--
Bùb Tub Garbag" Di&pooals Catch Easlns
-
Wuh Basin Dish....h... 1- Coaducto,"
- - - -
WIIi... CI....t Laundr- Grease CiÚch Basins
Sink Wilier Softeners Sump Pump" Ejectors
Wilier Heate.... / ;,a: sanUuy Bubble.... Bar and Soda Wastes
Sho..... .Batbs Urlnols
Floor Drains Dental Cuspidors
La\lJ1c1ry Tubs Service Sinks
Inapecllona Valulliion of the Work Herein Described Fee Verified. Receipled and Recorded Received Permit and lnapecfion Fees
------------------ --- Outsicle $---_L.LQ____'L----~?_<::'_------------------ ----------------------Sewer Fees
.-------------------------lnaide ----/.",-,z-.(;L...PIbg. Fees
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In Ihe perlormence of Ihis work Ihe undersigned owner (or his authorized agenl) 01 sold preml..s and his aulhol'ired Plumber hereby agree 10 b. bounden by and
submil 10 all slatules, city ordinances, end ruies and reguiations prescribed by Ihe Boord 01 Public Works for the government 01 Plumbers-
It is fulher agreed by the undersigned that no olher uses will be ,nade of Ihe ebove connection. excepl .. hereinefler Ii.ted.
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