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PLUMBING PEßMIT - Oshkosh, Wisconsin Permit N~ 9407
Name tv"',/,1-q..lv'\ MM-e,.1'tl' Street
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I Lot No. .-1 Block I Ward I Addition or Replat
OUTSIDE WORK
Date
NEW SEWEI WATER STORMS FEES FEES RElAY S. SEWER WATER STORMS FEES
From MaIn to Curb Septic Tanks From Moin to Curb
From Curb to Building Electric Pumpa From Curb to Building
Repair
INSIDE WORK
NO. NEW RIP. USED FEES NO. NEW REP. USED FEES "0. NEW REP. USED FEES
- - - -
_Tub Garbage Dis~ Catch Bulns
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Wub BuiD Dishwuhers Conductors
- - - - -
Water Cl_t ~ ;MDt Laundramats Gre.... Catch BuiDs
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SiDlI: Water Softeners Sump Pump Be Ejectors l?J
Water Heaters Sanitary Bubblers Bar and Soda Wastes
Shower Baths Urinals ~L",o r>LZJ- /-:' / ,J~ð
Floor Dralu Dental Cuspidors d
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Laundry Tubs Serne.. SiDks
Inspections Valuation of the Work HereiD Described Fee Verified. Receipted end Recorded Received Permit and Inspection Fees
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In the performance of thi. work the undenigned owner (or hi. authorized agent) of $Oid premi.e. and his authorized Plumber hereby agree to ba bounden by and
submit to all .tatuta., city ordinances, and rul.. and regulation. pre.cribed by the Board of Public Works for the government of Plumben.
It Is futher agreed by the undersigned that no other u..s will be made of the above connections except as hereinafter listed.
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