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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N? 8335
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I Lot No. I Block V I /- Ward I Addition or Replat
OUTSIDE WORK
Date
NEW slwn WATIR STORMS fEES .... REtAY S. SEWER WATER STORMS fEES
From MaIn to Curb Seplic Tanks From Main to Curb
From Curb to BuUcllnll Electric Pumps From Curb to Building /
Repair ~ /crd
INSIDE WORK
NO. NEW UP. USI!Ø flOS NO. NEW REP. USE. fEES NO. NEW REP. USED fE..
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JIIeth Tub Garbag" Dispoqls Catch Baw
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Wash BuÏII Dish.....h... Conductors
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Wa... CI"""t Laun<lramall Gre.... Catch Basins
S1IIk Water Softeners Sump Pump 8t Ejeciors
Water HsW!... l.1on!tary Bubble.. Bar and Soda Wastes
SIw...orBatba Urillals
Floor Dr8IDs Dental Cuspido..
Laundry Tubs Service Sinks
Joapedlou Valuation of the Work Herein Described Fee VerifiecL Receipted and Recorded Received Permit and IupectioD Fees
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$..-...............-..-.....-.............--.....-..........-
-....-..-...............-_..-....--Insicle .-..----..;:;¡.."pIbg, Fee.
7J17ît52~ Pinal 0; $........---.................................................-...- ......¿-:'~._..Total
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In the performance of this work the undersigned owner (or his outhorired og."t) of .aid preml... and hi. outhorired Plumber hereby agree to be bounden by and
submit to all statute., city ordinances, and rules and reguiallon. prescribed by Ihe Board of Public Works for the government of Plumbers.
It is fulher agreed by th. undersigned that no other uses will be made of the above connections excopt a. hereinafter listed.
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