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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N<.? 9567
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Plumber ------~---------------------------___------m Owner ------~----~------------------------------------- Number -----___--__mr.ð---------~~------
Dllie
I Lot No.
I Block I Ward
I Addition or Replat
OUTSIDE WORK
NEW SEW" WATE. STORMS FEES FEES .ELAY S, SEWE. WATE. STORMS FEES
From MIùn to Curb Septic TankE From Main to Curb
From Curb to BuDding Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO. NEW "'" USID FlES NO. NEW .EP. USED FEES NO. NEW .EP. USED FEES
/ /Óð - - -
Bath Tub Garbage DiopooaIs Catch Bulns
/ -
Wuh Buln --:2 a. 0'0 Dishwuhon /ßJ Conductors
- -
Wilier Cl....t -:2 ~(}O Laundramm / }ßO Greuo Cllich Bulns
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Sink / )Oö Wilier Softeners Sump Pump Be Ejectors / /~C
WÛ8r Hellien / I/.ãO Sanitary Bubblers Bar and Soda Wutes
Shower Batha '/ 1/..00 UriDals
Floor Dralnl I /. 00 Dental Cuspidors
Laundry Tubs Senice Sinks
IIUIpectiDnB v:ration of the Work Herein Described Fee Verified. Receipted and Recorded Received Permit and Inspection Fe...
--------------------_m_-------------_----_Outside :::2~~:_Q:~:::n:~r F:-:
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$--- ___m----_------_m--__--_--___---__m_----_--__.--_m__-------- ~--!.¿¡.,-.o--~----Total
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In the porformance of this work the undersigned owner (or his authorired agent) of said premises and his authorized Plumher hereby agree to be bounden by and
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 by the undersigned that no other uses will be mode of the above connections except as hereinafter listed.
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