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PLUMBING PERMIT - Oshkosh, Wisconsin Permil N~ - - 12
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I Lot No. -------_J Block I Ward I Addition o. Replal -
Dale
OUTSIDE WORK
NEW SEwn WATER STORMS FEES FEES RELAY S. SEWER WATER STORMS fEES
F- MaiD 10 ClUb Seplic Tanks From Main 10 Curb
F.om ClUb 10 BuDding Elecuic Pumps F.om Curb 10 Building
Repm
INSIDE WORK
110. NEW UP. USED flES NO. NEW REP. USED fEES NO. NEW REP. USED fEES
- - - - - -
Bath Tub Gubage Disposals Caleb BaslDs
Wub Basin Dishwashers 1- Conductors
- - - -
WaiN CI_1 Laundoamals G.e... Calch BaslDs
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SIDlE Wale. Softeners Sump Pump Ik Ejeclors
Wale. Healers Saniluy Bubblers Bu and Soda Wasles
ShoWN Baths u-
nocno DoaIDs Denial Cuspidors
1- - - -
Launcloy Tubs SerYice Sinks
IDlpaclions ;fuation of Ihe Work Herein Described Fee Verified. Receipled and Recorded Received Permit and Inspection F...
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----..-......--.-----..-.....-----.--.----..-.-...-.- $--- '_'_00---_---,---"-----"---------_---_---0000------""'------
----.---.-._....---_n_--FinaI OK $-------""---"""'---------_"00""""'------"--""_---00'_00- __n___---______n___'_'-Òiÿ'Trë;;~;ë;------'---'-----'-""" Dale .,i.d.1. 77
In the performance of this work the undersigned owner (or his authorized agent) of seid premises and his authorized Plumber hereby egree to b. bounden by and
submit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the governmant of Plumbers.
It Is futher agread by the undenignad that no other uses will be made of the above connections except as hereinafter listed.
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