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PLUMBING PERMIT - Oshkosh, Wisconsin Permit Nr: 8852
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I Lot No. .. b- I Ward I Addition or Replat
OUTSIDE WORK
Dale
NEW SEWIIII WAtER STORMS FE'S FIGS RElAY S. SEW'. WAT'. STORMS FEES
From MaIn 10 Cwb Septic Tanks From Main 10 Curb
holD Cm!> ill BuIlcllng Electric Pumps From Cwb 10 Building
Repair 9-11 ('J: J:¡ /-. ÒÙ
INSIDE WORK
NO. NEW REP. USED FIlS NO. NEW REP. U5O. ,,"S NO. NEW REP. USEo FEES
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Baib Tab Garbage DÏllpooaJo Caich BuinE
Wash Bu;,. DÏllbwll!Ih.... Conductor.
- - - . - -
Water Closet Laundramais Grease Ceieb Bulus
8111k Weier Softene.. Sump Pump 8< Ejeolors
WaterH- S81Û!ary Bubblers Bar and Soda Wast".
8how... Baiha Urinals
Floœ Dr'" Denial Cuspidors
Laundry Tubs Service Sinks
1~0... V1eilOn oj Ibe Work Herein De.crIbed Fee Verified. Receipled and Recorded Received Perml! and 1nspecilon Fees
-------------___--Oulllicie $ ._-_.Zi-;".áJ! ---'.--'- .-------- --.-- ñ;-rj""õ--_._Sewer Fees
----------------___----1Dside _fl~.___---_PIbg. Fees
-7Y_5:l?J="---- $----------- --'-------------"'------------ D:¡:/i~-;7~ ~
$..-........------------.-.----- ....__...--__m_m"'-CI¡;'-Ÿrëã.~;.r-......--__.--.m_-
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In th" performance of this work the undersigned owner (or hi. authorized agent) of .aid premi.e. and hi. authorized Plumber hereby agree to be bounden by end
submit to all statutes, city ordinances, and rules and regulation. prescribed by the Board of Public Works for the government of Plumber..
It i. futher agreed by the undersigned that no other use. will be m.de of the ahove connection. excapt .. hereinafter listed.
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