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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N? 1287;><
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I Lot Ko. I Block I Ward I Addüion or Replat
OUTSIDE WORK
Date
X-J:£!2K
NEW SEW" WAT" STORMS FEES FEES RELAY S. SEWER WATER STORMS FEES
From MaID to Curb ,/1 J'~ Septic Tanks From Main to Curb
fWD> Curb to Building Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO. NEW u,. USID FlES NO. NEW REP. USED FEES 1<0. NEW REP. USED FEES
- -
BathTub Gerbage D~ - Catch BulDs
-
Wub Buin Disbwuhen - Conductors
- - -
Water Cl_1 Laundramata Greue Catch BuIDs
-
Sink Water Softeners Sump Pump 81: Ejectors
Waler Heaters Sanitary Bubblers Ber and Soda Wastes
Shower Bathe Urinals
Floor Dr8IDI Dente! Cuspidors
-
Laundrr Tube Service Sinks
Inspections Valuation of the Work Herein Described Fee Verified, Receipted and Recorded Received~rmil and Inspection F....
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S... ....................... ..............-............................' ,--.'::j,--~----,_____Total
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submit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It I. futher agreed by the undersigned that no other uses will ba made of the above connections except a. hereina.flar ~listedo
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