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PLUMBING ~ERMIT - Oshkosh, Wisconsin Permil N<.? 1394;<
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I Lot No. I Block I Addilion or Replat
OUTSIDE WORK
Dllie
NEW SEWEI WAfEi STORMS 'EES FE" mAY S. SEWER WATER STORMS FEES
From MaiD 10 Curb Septic Tanks From Main 10 Curb
From Curb 10 BulIclIng -J- ¡'/J t! 4.cJZ) Electric Pumps From Curb 10 Building
f Repair
INSIDE WORK
NO.
NEW
UP.
FEES
USED
H"
NO.
NEW
REP. I USE.
FE"
NO.
NEW
REP.
USE.
Baib Tub
Garbage DÌJlpooa1a
Caicb Bu1ns
Wub B",in
DÌJlbw",hers
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Conductors
Wilier Cl_t
LaundrlUDlWl
Gre.... Cllieh B",1ns
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SIDk
WIlier Softeners
Sump Pump &; Ejectors
W.... Hellie..
Sanitary Bubblers
Bar and Soda Wasles
Shower Baihs
Urina1s
Floor Drains
Denial Cuspido..
Laundry Tubs
~:~_:_-----------_.-----------____Outside
Service Sinb
Fee Verified. Receipted and Recorded
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Received Permit and Inspecllon Fees
----~.4.?)-------Sewer F-
--------/'-P'P----_.PIbg. F..s
D~;:~~;h~hY
----------------------------------------------------Inside
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In the ¡Íerformsnce of thi. work the underoigned owner (or hi. authorired agent) of said premise. and hi. authorired Plumber hereby agree to be bounden by and
.ubmlt to all .tatutes. city ordinences. and rules and regulation. prescribed by the Board of Public Works for the government of Plumbers.
It Is futher agreed by tJ!, underolgned that no other uses will be made of the above connection. except.. hereinanar lI.ted.