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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N':' 8973
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LoLII"'__- - - ~ I Ward I Addition o~ Replat
OUTSIDE WORK
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NEW SEWD WATER STORMS FEES FEES RELAY S. SEWER WATER STORMS FEES
From Mala 10 Curb Seplic Tanks Fmm Main 10 Curb
FftIm Curb 10 BuUdIDg Elecuic Pumps Fmm Curb 10 Building
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INSIDE WORK
NO. NEW REP. USEO FlES NO. NEW REP. USEO FEES NO. NEW REP. USEO FEES
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Bùla Tub / I J ð-V Gubage DIIponJs Catch Basins
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Wub Bubl / j.tJ-() Dlshwuben COnductoD
1- - - - -
Watft Cioøl I I I, o-f) Laundramats Grease Catch' Bubsa
SIDk / ,m Wate~ SofteneD Sump Pump &: Ejeclors
Wúe~ HeateD / /ð-C/ Sanitary Bubblers Bu and Soda Wules
Show.. Batba ,g. U~
Floor ~aIDS Denial Cuspid,,"
Laundry Tubs Serrice S!IIb
IDRpecUont Valuation of Ihe :';jk Herein Described Fee Verified. Receipled and Recorded Recelyed Pe~mU and Intpec!\on Fees
~=::~~~::::===:=~~~ $....,l~,Q..Q,~....,....,..............................,......, .......................,...,Se_~ Fees
...,_....-§'.:,~Plbg. Fees
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'i í, ,C)..I;.., --Filial OK $ """"""""'.. ........,............-......., ...........--- Date ~ ,.,s-, 7 ¡þ
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, city ordinances. and rules and regulations p...cribsd by the Board of Public Works for the government of Plumbers.
It Is futher agreed by tho undersigned that no other uses will be made of the above connections except as hereinafter listed.
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