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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N': 8562
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Lot No, Block Ward
OUTSIDE WORK
l Addliion or Replal
Dato
NEW sown WAtllt STORIAS FEES "'S "'AY S. SEWER WATER STORMS FEES
From MaiD to Curb Sepllc Tanks From Main 10 Curb
~m Curb to BuUding Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO- HEW RIP- USED FIlS HO. NEW R'P- USED FEES ~ HIW ,IP- USED 'IIS
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Batb Tub Garbage Dlspoøa1s Catch Butos
Wuh Bubs Dishwashers - Conductors
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Wat... Clo8et Laundr- Gre... Caleb Bulns
SiIIII: Water Softeners Sump Pump II< Ejectors
Water Heato... Sanitary Bubblers Bar and Soda Wutes
Show.... ;Batbs Urinals ~ Cbo ~, /0 J J '
Floor DraIDs Dentat Cuspidors
Laundry Tubs Service 8bsb .2 :}.t:ttJ
IDlpectiollS Valuation of the Work Herein Described Fee Verified. Reeeipled and Recorded Reeei...d P.rmit and IDlpecllo" F-
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$---------- ------------------------ ----------______m_--CI¡:¡T;;'~ï~;.;------------------- Date '7/.:l 7 ~
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In tho performance of this work the undersigned owner (or hi. authorized agent) of s.id premises and his authorized Plumber hareby egree to be bounden by end
submit to all statutes, city ordinances, and rules and regulations prescribed by the Soard of Public Works for the government 01 Plumbers.
It Is luther agreed by the undersigned that no other uses will be made 01 the above <onnections except as hereindter lioted.
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