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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N<2 959
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I Block I Ward
I Lot Ho.
¡ Addition or Replal
Dale
OUTSIDE WORK
NEW SEwn WAIIR STORMS lEES lEES RElAY S. SEW'R WATER STORMS lEES
From Main to Curb Seplic Tanks From Main to Curb
From Curb to BWlding Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO.
NEW
"P.
IRES
NEW
REP. I USE.
lEES
NEW
USI.
lEES
NO.
REP.
USED
NO.
Batb Tub
Garbage DiIpoIaIa
Caleb BuIDII
Wuh Basin
Dishwashers
Conducto..
I~~
Wilier Cl_t
Leundramatl
Greue Cllicb Basins
f--
Sink
Wilier Softene..
Sump Pump 8< Ejecto..
¡
I,CD
Sanitary Bubble..
Bar and Soda Wastes
t../
Wilier Hellie..
Sbower Baths
UriDa1a
Floor Dralu
Dental Cuspido..
Laundry Tuba
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Service Sinks
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Received Permit and Inapecllon Fees
-----------------____h.--Sawer Foes
----/,---@-------Plbg. Fees
$-------------------------------------- --------------------------- I Cliÿ--T,;;~~;;;-h---___----'------------ I Da~:/~;;;/;17
Valuation of the Work Herein Described
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.
Fee Verified. Receipted and Recorded
-------------------------FiDal OK
In the performs nee of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby egree to be bounden by end
submit to ell statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
the undersigned that no other uses will be made of tha above connections exceJ't as hereinafter listed.
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