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PLUMBING PERMIT - Oshkosh, Wisconsin Permil N? 9080
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I Block I Ward
I Lot No.
I Addilion or Replat
Dat.
OUTSIDE WORK
Naw SEWER WATER STORMS fEES fEES RELAY S, SEWER WATER STORMS FEES
From MaID to Curb Septic Tanks From Main to Curb
r-om Curb 10 BuUellng Electric Pumps From Curb to BuUellng /-1'/ CA' ~ 4tJ.-()
Rapair
INSIDE WORK
NO.
NEW
UP.
NO.
NEW
REP. I USED
NO,
fEES
NEW
REP.
USED
fEES
USID
fEES
Beth Tub
Garbage Dispooalo
Ca!ch Bum.
Wub BuiD
Dishwuhen
Conductors
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Water CI_t
LauDAlrama!s
Greala Catch Buw
I---
SbIk
Water Softenars
Sump Pump 8< Ejectors
Water H.at...
Saniluy Bubble..
Bar and Soda Wastes
Shower BathR
UrinalR
Floor Dr81D8
Dental Cuspidors
Leundry TubR
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Service SiDles
Fee Verified. Receipted and Recorded
Received Permil and Inspection Feeo
--_.---.,J_:---~-----Sewer Fees
- ð-tJ
------..lL._----------Plbg. F..s
-------'</_."'::Q,..Total
cJ-/2 7i.
Valuation of the Work Herein Described
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Date
In the performonco of this work the undersigned owner (or his outhorized ogent) of soid premises end his authorized Plumber hereby ogree to be bounden by end
submit to all statutes, city ordinonces, end rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
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It Is futher ogreed by the undersigned thot no other uses will bo made of the above connections except
'aftor listed.
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Plumb., --