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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N'2 - 658
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Date I Lo.I No. I Block I Ward ----_J Addition or Replal
OUTSIDE WORK
NEW SEW" WATE. STORMS FEES FEES .ELAY S. SEWE. WATE. STORMS FEES
From M8ID to Curb Seplic Tanks From Main to Curb
nom Curb to BuDdlng Electric Pumps From Curb to Building
Repair V
Received Permit and Inspection F-
mnmn/:-_o:!!__Sawer Fees
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Date q- c/- 77
INSIDE WORK
NO.
NEW
UP-
NEW
FEES
NEW
USED
NO.
.EP. I USED
"0.
FlES
Batb Tub
Garbage Disposals
Dishwashers
Catch Basins
Wash Basin
Conductors
Water CIOI8t
Laundramùll
Gre... Catch Basins
Sink
Water Softeners
Sump Pump k Ejectors
Water Heaters
Sanitary Bubblers
Bar and Soda Wastes
Shower Baths
Urinals
Floor Drains
Dental Cuspidors
Laundry Tube
Service Sinks
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Valuation of the Work Herein Described
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Fee Verified. Receipted and Recorded
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In th'e perfo¡.,r.nce of this work the undersigned owner (or his euthorbed egent) of said premises and his authorized Plumber hereby agree to be bounden by end
submit to all statutes. city ordinances. and ruin 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 made of the above connections except as hereinafter listed.
.EP.
USED
FEES
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