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PLUMBING PERMIT - Oshkosh, Wisconsin Permil N~ 786
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l Lot No. ___I Block I Ward I Addüion or Replat
Date
OUTSIDE WORK
NEW SEWEI WATER STORMS FlES FEES RELAY S. SEWER WATER STORMS FlES
From MaID 10 Curb Septic Tanks From Main 10 Curb
From Curb 10 BuDding Eleclrlc Pumps From Curb 10 Building
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INSIDE WORK
NO. NEW "P. USEO FlES NO. NEW REP. USEO FEES NO. NEW REP. USEO FlES
- - -
Bath Tub Garbage DÙlpooa1a Catch Basins
Wash Basin DÙlbwasban - Conducloro
- - - -
Watar Cl_t Laundramats Grease Catch Basins
-
SIIIIr: Water Soflenero Sump Pump" Ejectoro
Water Heaters / / try; Sanitary Bubblers Bar and Soda Wastes
Shower BathI Urinals
noor Dra1Ds Dental Cuspidors
Laundry Tube Service Sinks
Iaopeclions Valuation of the Work Herein Described Fea Verified. Receipted and Recorded Received Permit and Inspection F-
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$.._______000_--_--_-'-____000______000___000_-_'--______00'000--00_'___00--- m!~--.--~m..Plbg. Faes
.-------h---"-------.----'--------"---'------'h---Inside
$--- '--'-----------'------"____00000_____--_--'00_-----'--'--------------. /.#-0
--..-----.-.-.----------------------------'_'____000_- 000-- m-mmmm-"h.--..--Total
----~11)\~'~--'-~~ OK $000000_-- "_000 000 00--- '--"00 000____----00000'_00__------_--------- -------'-"'---.é";iÿ-T;;;;;~;~;-----'----'------"------' Date /(J-/,f?- 77
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submit to all stalutes. city ordinances. and rules and regulalions prescribed by the Board of Public Works for the government of Plumbers.
It Is futher agreed by the undersigned that no olher uses will be made of the above connections except as herelnaltar listed.
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