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PLUMBING PERMIT - Oshkosh, Wisconsin' ParmI! N~ 1395-/
P~~AL- Zz/4-£?~---- :at M~djd___,
I Lot Ko. I Block J Ward I Addition or Replal
Dale
OUTSIDE WORK
NEW SEW" WATER STORMS lEES lEES RE'AY S. SEWER WATER STORMS lEES
From MaIn 10 Curb Seplic Tank. From Main 10 Curb
~m Curb 10 Bulldlnll ...../ _/ 4,æ Electric Pumps From Curb 10 Building
Repair
INSIDE WORK
110.
NEW
UP.
liES
NEW
REP. I USE.
NO.
NEW
USE.
fEES
REP.
FEES
USED
NO.
Batb Tub
Garbage D~
Catch Basins
I---
Wasb Basin
Dlsbwashan
Conductors
Water Cl_1
Laundramals
G.a... Catch Basins
I---
SIDIo:
Wata. Sofleners
Sump Pump 8< Ejector.
Wale. Heaters
Sanitary Bubblers
Bar and Soda Waste.
Shower Baths
Urinals
Floor Drains
Laundry Tubo
Denial Cuspidors
Service Sinks
~~:~=::==:=:~~:::::::=:=::::::~:~: :a~;;~:r_:u=:~::_:::=_:: Fee VerUled. Receipted and Recorded R~~i~ff~~~::~~;Z=:lion F-
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In the parformance of this work the undersigned owner (or his authorlred agent) of said premises and his author ired Plumber hereby agrae to be bounden by and
submit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It Js futhar agreed by thy;ùnderslgned that no other uses will be made of the above connections except as herelndtar listed.
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