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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N<:? 408
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I Block I Ward
I Addition or Replat
Dale
¡ Lot No.
OUTSIDE WORK
NEW SEwn WA'" STORMS FEES FEES "'AY S. SEW" WATE' STORMS FEES
F- MaIn to Cub Septic Tanks From Main to Curb
~ Cub to BuDding Electric Pumps From Cub to Building
Repair
INSIDE WORK
NO. NEW REP. USED fI'S NO. NEW 'EP. USED FEES tlO. NEW 'EP. USID ""S
- ~
Bath Tub Garbage Disponls Caleb Basins
Wub Basin Disbwashen - Conducto..
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Wal.. ClOlet Laundramaa Greue Calch Basins
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1... Sink I oc- Waler Softene.. Sump Pump II< Ejectors
Waler Heale.. Sanitary Bubblers Bar and Soda Wastes
Show.. Baths UriDals ~~ lOCi
1-
FIoĊ Dralu Dental Cuspldo..
Laundry Tubs Service Sinks
Inopect1ons Valuation of the Work Herein Described Fee Verified. Receipted and Recorded Received Permit and Inspection Fees
-..................-.....-...-....................OutBida $.. </æz:...................-...-..-............... ............................Sewer Fees
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$...........................................-....-........................ ..q(!:P.9...........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 Is futher .greed by .the undersigned that no other uses will be made of the above connections except as hereinefter listed.
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