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PLUMBiNG PERMiT - Oshkosh, Wisconsin Permit N~ 8521
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Date
¡ Lot Ifo.
I Addition or Replai
OUTSIDE WORK
NEW SEWER WATIJI STORMS FEES "ES RELAY S. "WER WATER STORMS FEES
FIOIIl MaIn to Curb /-I 'r t'!<.' ~ ( Septic Tanks From Main to Curb
F1Iom Curb 10 BuIlcllnø ¿.Jr, f!¿' :Si>~ / ~ Electric Pumps From Curb 10 Building
líí Repair
INSIDE WORK
NO. NEW "P. USED FI" NO. NEW REP. USED FEES NO, NEW REP. USED fEES
-- - -
Bath Tub Garbage Dupooa1s Catch Baslr>s
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Wub Bum L Dishwuhers Conductors
1- - -
W- Cloøt ..:). LaunclrllDUlts Grease CaJch Bums
Sbak Water Softeners Sump Pump lIE Ejectors
Water Heaters I Sanitary Bubblers BRr end Soda Wutes
Show. Batbs Urinals
Floo:r Drllllul Dental Cuspidors
Laundry Tubs Service Sinks
~Æ.~O L2~---_---Outslde Valuation of the Work Herein Described Fee Verified. Receipted and Recorded Received Permit and Inspection Fees
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--"----~E~W-------_Ins~ ------..k~~_Plbg. Fee.
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In the performance of this work the undersigned owner (or his authorized ag"nt) of s.id premls.. and his authorizad Plumber hereby agree to be bounden by end
submit to all st.tutes. city ordinances. and rules and regulations prescribed by the Board of Pubilc Works for the governmenl of Plumbers.
It Is futhar agreed by the undersigned thai no other uses will ba made of the .bove connections except as hereinan
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