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PLUMBING PERMIT - Oshkosh, Wisconsin Perml.! N~ 8979
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1 Lot No.
J Addüion or Replat
Date
I~ ---l Ward
OUTSIDE WORK
NIW SEW.. WATER STORMS fEES "ES RELA. S. SEWE. WATER STORMS flEs
Fzom MaIn to Curb Septic Tanks From Main to Curb
Fzom Curb to BuDding Eleotrlo PumJa From Curb to Building
Repair
NO.
INSIDE WORK
NEW I "'.1 USED ~o.1 I NEW I .... I u"ol~1 N°'1 I NEW La... I UI.ol~
In the performance of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to be bounden by end
submit to all statutes. oity ordinances. and rules 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 mede of the above connections except as hereinafter listed.
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Bath Tub
Wuh BuID
Water Cl_t
SIDk
Water Heaters
Show. Batba
FlOO1' ~aInø
Laundry TuJx¡
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G81'bage Dl8pooala
Catch BuIDe
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¡,O--U
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Dishwashers
Conductor.
Laullclramats
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Grease Catch Basins
Water Softe......
Sump Pump II< Ejector.
Sanüary Bubblers
B81' and Soda Wast..
Urinals
Dental Cuspidors
Serric:e Sinks
Valuation of the Work Herein Described
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Fee Verified, Receipted and Recorded
Received Permit and IMpaction Fees
............................Sswer Fees
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Date ð- ,~- 7 6
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