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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N': 8457
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t Lot No. I Block I Ward I Addition or Replat
OUTSIDE WORK
Date
NEW SEWER WATER STORMS 'EES 'EES .ELAY S. SEW'. WATE' STORMS "ES
From MaIn to Curb Seplic Tanks From Main to Curb
From Curb to Building Electric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO. NEW IW'. USED NES NO. NEW 'EP. USED fEES NO. NEW .EP. USED 'EES
- - ~ I - - ~
Bath Tub Garbage Dlspoøak Catch Basins
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Wash Buin Dlshwuhan Conduclors
W- CIOIMt LaU11lhama.IR Graua Catch Bulna
SInk Water Softene.. Sump Pump Ik Ejectors
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W.r Hnters Sanilary Bubble.. Bar and Soda Wasle.
Sho- JIatbs tJriILaIs
FloĊ DraIDs Denial Cuspidors
Laundry Tubs Service Sinks
~ Valualion of the Work Herein Described Fee Verified. Receipled and Recorded Received Permit and Inspeclion Fees
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-----2. - ~_~id. $------.---------------------------------- I _.._-----PIhg. Fees
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--------FiDa1 OK $---------------------------- Côty T,..",., Date
In the performence of this work the undersigned owner (or his authorized all"nt) of said premises and his authorized Plumber hereby agree to be bounden by and
.ubmit to all statutes, city ordinances, and rules and regul.tions pre.crlbad by the Boord of Public Works for the goyernment of Plumbers.
It is futher agreed by the undersigned that no other uses will be made of the above connections except .s hereinafter Ii.ted.
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