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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 1269 X
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I Lot No. I Block I Ward I Addilion or'Replat
OUTSIDE WORK
Date
NiIW SEwn WATER STORMS FE" FEES RELAY S. SEWER WATER STORMS FEES
From MaIn to Curb Seplic Tanks From Main to Curb
~ Curb to BuDding Eleclric Pumps From Curb to BuUding
Repair
INSIDE WORK
NO. NEW REP. USED .... NO. NEW REP. USED FEES "0. NEW REP. USED FEES
~ - -
I Bath Tub ,../ /,06 Garbage Dlapoea18 Catcb Bum.
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I Wuh Buln ",/ ¡,CO Dlabwuhera Conductoro
~ - - - -
/ Water Cloeet ",/ ;'00 Laundramata Gr- Catch Buw
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L S1nIo: ./ 11100 Water Softenero Sump Pump" Ejectors
I Water Heaten ---- II, otJ Sanitary Buhblers Bar and Soda Wutes
Shower Baths Urinals
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noor Dratu Dental Cuspidors
Laundry Tube Service Sinks
Inspections Valuation of ~rk Herein Described Fee Verified. Receipted and Recorded Received Permit and Inspeclion Fees
.......-......-..-.........-.........-.........Oulside $../á...CJ!2........................_......_................... ..:::~:e:9::::~:r F:7
~£~:'.=::/~.øZ=:~:"~d~ $.........................................................-................ .......,$,...",g....Total
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----..-----.-.-...-..---F1na1 OK $......................-..........................-..................--. Date G, 1J;,7'7f
In Ihe performanca of Ihis work tho undersigned owner (or his authorbed agent) of said premises and his authorized Plumber hereby agree to be bounden by and
submit to all statutes, city ordinances. and rules and regulations prescribed by Ihe Board of Public Works for Ihe government of Plumbers.
ned that no other uses will be made of the above connections except as hereinafter listed.