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. PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 1276 ~
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I Lot No. I Block I Ward I Addition or Replat
OUTSIDE WORK
Dale
NEW SEwn WATER STORMS FEES FEES RELAY S- SEWER WATE. STORMS FEES
Foom MaIn to Curb Septic Tanks From Main to Curb
FIom Curb to Building Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO. NEW RI'. USED FIlS NO. NIW RI'. USE. 'lIS "O. NEW .1'. USED FEES
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Bath Tub Garbage Dispooela Catch Basins
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Wuh Baslø Dishwashers Conducto..
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WaIH CI_t Laundramala Graue Calch Basins
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Sink Wale~ Softene.. Sump Pump 8< Ejacto..
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( WaIe~ Heale.. / /,oð Sanitary Bubble.. Bar end Soda Wastes
Show. Batha Urinals
nOM ~aløa Dental Cuspido.. I
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Leunœy Tubs Service Sløb
Iupections Valuation of the Work Herein Described Fee Verified. Receipted and Recorded Received Permit and Inspection Fees
..-..----------------------------------___-.Oubide $__l.572_Z____-------------------------..----- ----------------------Sewar Fees
-----.-.--------------------..---------Iulde ----~.~-----_PIbg. F..s
$---------------.--.--------------.---------------- D~:.~;;;7
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---.------.-----.-.-----.---Elnal OK $----------------------.--- ---.-----.---------.-------.-------
In the performance of this work the undersigned owner (or his authorized agent) of said premises and his euthorired Plumber hereby aurae to be bounden by end
submit to all statutes. city ordinances. and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It Is futher agreed),v the undersigned that no other use. will be made of the above connection. ex"cept AS hereinafter listed.
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