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PLUMBING PERMIT - Oshkosh, W~sc:onsin Permit N? ß697
Hame . - I Street , ~
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L_lfoo.. I Block I Ward I Addilion or Replat..
OUTSIDE WORK
Dale
NEW SEW" WAtEJt StORMS ,.'s ,..S '.'AY S. S.VI" WA,.. STORMS 'EES
From Main to Curb Sepilc Tanks From Main ~o Curb
From Curb to BuUcJIDg Electric Pumps From Curb 10 B"Udmg
Repair
INSIDE WORK
NO. NEW "P. USED RES NO. N'W REP. USED 'EES NO. NEW REP. USED RIS
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Ba!h Tub Garbage DIspoooJs Catch BuinJI
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WIIIIa Buln Dlshwllihers Conductors
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WalH Clooet âE Laundrama.bl Gre.... Catch BuIDII
SIDle WeIer Softe"ers Sump Pump Ik Ejeciors
Wale. Heale.. Sanitary Bubblers Bar and Soda Wasles
ShowH .Ba!Ju¡ UriIIeJs c2- rt¿&
FJocw Drains Dental Cuspidors
LeUllc!ry Tubs Service Sinks
Inspections Valuallon of the Work Herein Described Fee Verified, Receipted and Recorded Received Permit and Inspecilon Fees
--------------- ----.--. ----- Outside 2,--'S-Ò ctY ...------.--------.....SeWH Fees
$.----.-.-....--.-.-.---...-------------------....--.------ --_...."'¿c C!22.PIbg, Fees
-...-----------..----------.-Inslde
~¡Jr_= FIDaJO; $-.---....-.---.----.--.------...--....-..--------- -----=d_.:_if!12.-Total
$---.------.-.---.-.-..-.--....-----..----- .--'----""'-""------CI¡:¡T;;'~';;;;-"""'--'--"'--"- Date //-13- 76-
In the performance of this work the undersigned owner (or his authorizad .gent) of said premlsas and his authorized Plumber hereby .gre. to be bounden by and
.ubmlt to all statutes, city ordinance., and rule. and regulations prescribed by the Boerd of Public Works for the government of Plumbers.
It is futher agreed by the undersigned that no other uses wm be mode of the above connections except ../~.rein.fter listed.
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