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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N<;,1 9863
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I Lot Ho. I_Block I Ward I Addilion or Replat
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Date
OUTSIDE WORK
NEW SEwn WAIIR STORMS FEES FEES RELAY S. SEWER WATER STORMS FEES
From MaIn to Curb Septic Tanks From Main to Curb
From Curb to BuDding Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO. NEW ..,. USIO .... NO. NEW RE'. USED FEES NO. NEW rEP. USED fEES
- ~ - -
Bath Tub '4- I------- Garbage DÌllpooalR Catch BaslDs
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Wuh Basin Dishwashen Conductors
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Water Cl_t . Laundramats "Z--. Grease Catch BaslDs
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Sink 17--- Water Softeners Sump Pump" Ejectors ~
Water Heate.. '/ Sanitary Bubblers Bar and Soda Wastes
Shower Batha Urinata
Floor Dr8lu :J-. Dentat Cuspidors
I------ - -
LaUDmy Tuba Service Sinks
IJllpections Valualion of the Work Herein Described Fee Verified. Receipted and Recorded Received Permit and Inspeclion Feee
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$------_----_m--m----m_--_m--------__--------_--------m----------- ------_£ltJ-{)--m--Total
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------__--___m--__--Finat OK
In the perlormence of this work the undersigned owner (or his euthori.ed egent) of said premises end his authori.ed Plumber hereby egree to be bounden by ..,d
submit to all statutes. city ordinances. and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It Is futher agreed by the undersigned thet no other uses will be made of the above connections except as hereinalter listed.
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