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PLUMBING PERMIT - Oshkosh, Wisconsin Permit Nr: 8691
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I Lot No. I Block I Ward I Addiiion or Replat
OUTSIDE WORK
Dale
NEW SEWEll WATER STORMS fEES ,... RELAY S. '.W" WATER STORMS FEES
F- Mala to Curb Seplic Tanks From Main to Curb
F.- Curb to BuUcIInø ¡.J I. ;1/ / /. (", ø- Electric Pumps From Curb 10 Building
Repair
I
INSIDE WORK
NO. NEW RIP. USED FEES NO. NEW REP. USED 'EES NO. NEW REP. USED FEES
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Búh Tub Garbag" Disposals Catch BasiDJ<
Wuh Basin Dishwasb.... Conductors
Wet... cmet Lauudr- Gre..... Catch Basins
81Dk Weter Softeners Sump Pump 8< Ejectors
Waler Hoate.. Sanitary Bubblers Bar and Soda Wast..
811.0..... Baths Urinals
Floor Drlllwl Dental Cuspidors
Lound>y Tub! Service Sinko
¡upoclio"" Valuation of the Work Herein Described Foe Verified. Receipted and Recorded Received Permil and I""poetlon Fees
-------------------OutIide $--__-d.t2_a__~___-----_._------------------ -----~-_:'::::":_--.80wer Fees
--------------.--- --------wlde ___---L£:f!__.pIbg. Fee.
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$---------------------------------------------- Dale //-/...7. 7.s-
In the performance of this work the undersigned owner (or his authorized agent) of said premis.s and his authorized Plumber 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 gov.rnment of Plumbers.
It I. futher agraed by the undersigned that no other use. will b. made of the abov. connections except .s horoin.fter listed.
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-- -- - Plumbing In.~ A
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