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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N? 8468
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l_L_otH~o, ~ . Block I Ward I JI.ddilion or Raplat
OUTSIDE WORK
D8te
Naw SEW" WATER STORMS lEES FEES RELAY S. SEWER WATER STORMS FEES
From Main to Curb Septic Tenks From Main to Curb
From Curb SO Building Electric Pumpe From Curb to Building
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INSIDE WORK
NO.
Naw
UP.
USED
FlES
NO.
NEW
REP. I "SED I F'"
NO.
NEW
REP. I USED
FEES
Bath Tub
Garbage DÙiposals
Catch Basins
Wuh Basin
DÜib.....ben
Conductors
Water Cloeet
Laundramats
Grease Catch Bulns
Slalc
Water Softeners
Sump Pump lit Ejectors
W8ter Heaters
Shove .Baths
Swûtuy Bubblers
Urinals
Bar and Soda Wastes
FIoœ Dr"
La1U1dry Tubs
Dental Cuspidors
Semce Sinks
IDlpecticDl Valuation of the Wozk Herein Described Fee Verified. Receipted and Recorded Received Permit and IDlpectlon Fees
-----.-----_.---Outside $~..i.L£L_?_....,.._,---,----,_.....__..- ~._-/:..-:::!_._-Sewer Fees
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In the performance of this work the undersigned owner (or his authorized agent) of said premisas and his authorized Plumber hereby agree to be bounden by and
submit to all statutes, city ordinances, and rules and regulations prescribed by the lIoard of Public Works for the government of Plumbers.
It Is futher agreed by the undersigned that no other uses will be made of the above connections except as hereinafter listed.
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Plumbing In,_-!"þ 8.
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