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PLUMBING PERMIT - Oshkosh, Wisconsin Permil N~ 1621 ¡(
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I Block I Ward I Acidilio~laI
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Date ff) ~ ~ ~ ì ì</ Lot No.
OUTSIDE WORK
NEW SEW" WATER STORMS lEES lEES RElAY S. SEWER WATER STORMS lEES
From MaID to Curb Seplic Tanks From Main 10 Curb
~m Curb 10 Building Lj I' /10 ,/ Electric Pumps From Curb 10 BuUding
Repair
INSIDE WORK
110.
NEW
UP.
NEW
lEES
REP. I USED
lEES
NO.
NEW
REP.
USED
USED
HES
NO.
Bath Tub
Garbage D~
Calch BulDa
I--
Wub Buln
Dishwuhers
Conduclors
I~-
Wa!8r CIONt
Laundramala
Gre... Catch BulDa
f--
SIDk
Water Softeners
Sump Pumplk Ejectors
Water Heaters
Sanitary Bubblers
Bar and Soda Wules
Show"" Bùhe
Urinals
Floor DraIDs
Denial Cuspidors
Laundry Tube
Senice Sinks
IJUlpectio... Valuation of th~k Herein Described Fee Verified. Receipled and Recorded Received per~ and Inspection F...
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In the performance of this work the undersigned owner (or his authori..d agent) of said premises and his authorired Plumber hereby agree to be bounden by and
submit to all statutes. city ordinances. and rules and reguletions prescribed by the Boord of Public Works for the government of Plumbers.
It Is futher agreed by the undersigned that no other uses will be made of the above connections except as hereinafter listed.
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