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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 9420
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l Lot No. Block I Ward I Addition or Replat
Date
OUTSIDE WORK
NEW SEW" WAUl STORMS FEES 'EES '.,AY S. SEWE' WATE' STORMS 'EES
From MaIn to Curb Septic Tank. From Main to Curb
From Curb to BuIlc11ng .i.L /, /f /' J~c:. 4;-0 Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO.
NEW
"P.
NO.
NEW
'EP. I USED
"0.
"E.
NEW
'EP.
USED
'EES
USED
FIE.
Bath Tub
Garbage DÌI~
Catch Basins
I----
Wash Basin
Dlshwashen
Conductors
WatN CI_t
Laundrama.18
Gre... Catch BasÙUI
f--
SIDk
Water Softeners
Sump Pump Be Ejector.
Weter Heate..
Sanitary Bubblers
Bar and Soda Wastes
ShOWN Baths
Urinals
noor DrÜD8
Dental Cuspidors
Laundry Tubs
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Service Sinks
Fee Verified. Receipted and Recorded
Received Permit and Inspection Fees
.::~;1~.£~~r F:7
7.,;2.(}' 7~
Valuation of the Work Herein De.cribed
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City r"...,.,
Date
In the performance of this work the undersigned owner (or his authorired agent) of said premises and his authorired Plumber hereby agr.. to be bounden by end
submit to all statutes, city ordinance., and rule. and regulations prescribed by the Board of Public Works for the government of Plumbers.
It Is futher agreed by the undersigned that no other uses will be made of the above connections except as hereinafter listed.
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