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PLUMBING PERMIT - Oshkosh, Wisconsin Parmi! N~ 9638
Name ()"'.. 0 'k-' Slreet
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I Lot No. I Block I Ward
OUTSIDE WORK
N-
ot
Plumber
Dat.
l Addilion or Replat
NEW SEWEt WATER SrORMS fEES FEES RELAY S. SEWER WArER STORMS FEES
From MaIn to Curb I)G// /II. c j'<to/J f;.f)\) Septic Tanks From Main to Curb
From Curb to Building Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO.
NEW
USED
NO.
FlES
..,.
Bath Tub
Gubage Dillposala
Wuh Basin
Dillhwashen
Water Clooat
Laundramattl
Sink
Water Softeners
Water R.aten
Sanitary Bubblers
UrInals
Show. Baths
Floor DoaIDs
Dental Cuspidors
Laundry Tubs
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Service Sinks
Valuation of the Work Herein Described
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Received Permi! and Inspection F...
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NEW
FEES
"O.
NEW
REP.
USEO
FE..
REP. I USEO
Catch Basins
Conductors
Gre... Catch Basins
Sump Pump Ik Ejectors
Bu and Soda Wastes
Fee Verified. Receipted and Recorded
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In the performance of this work the unde..igned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to be bounden by and
submit to all statutes, city ordinances, and rule, and regulation, prescribed by the Board of Public Work, for the government 01 Plumbe...
It I, luther agreed by the undersigned that no other use, will be mode 01 the above connection, except a, hereinelter listed.
City r,."".,
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