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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N<: 9506
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I Lot No. \ Block I Ward .l Addition or Rel'lat
OUTSIDE WORK
Dú.
NOW SIW.. WATI. STORMS .IIS FElS .I'AY S. SEWS. WATE. STORMS FElS
F..... 1I8lol. 14 9_1> . . " Septic Tanks From Main to Curb
FNm Cub 10 Bu11dlng -;Jv /11 ç ¥Y-- Electric Pumps From Curb to Building
7 Repair
INSIDE WORK
NO.
NEW
UP.
filS
NO.
NEW
.EP. I USED
..IS
NO.
NIW
.IP.
.IIS
USED
USID
Cúcb BolDs
Beth Tub
Garbage Diopooa]a
Diobwoben
Conducto..
Wub Boin
Wúer ClORet
LaundrlUl1Ú8
Greue Cúch BolDs
~
SIDle
Wúer Softene..
Sump Pump 81: Ejecto..
WÚ8r H.úen
Sanitary Bubblen
UriDalR
Bar and Soda Wotes
Shower BúhR
I~
Floor DraIDa
Laundry Tuba
Dental Cuspidon
Service Sinks
¡""pac:tto"" _....Outside
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Valuation of the Work Herein Described
$000000 m.<L..M..~.....m....._..mm......_m
Fee Verified. Receipted and Recorded
R1d~;~:.it.:"::e:n;:ion Fees
it.~;.....mm..Plbg. Fea.
ff.m~...Øì.......Total
Date ý::..J¿ .. 76
$... ...............00.00.......00....."_...00"..,,......00...00...'
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In the performance of this work the undersigned owner (or his authorired agent) of said premises and his authorized Plumber hereby agree to ba bounden by and
submit to all statutes. city ordinances, and rules and rogulations prescribed by the Board 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 hereinalter listed.
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