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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N? 8702
¡J ~ ;/ Hame -- () ¡J ¡J Street , ¡J 1
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Lifo, I Block I Ward I Addi1ion or lIeplat
OUTSIDE WORK
Date
NEW SEWn WATER STORMS fEES "'S RElAY S. ,"WER WATER srORMS fEES
From MaiD to Curb 1ft ¡II JJ '/;tA) Seplic Tanks From Main 10 Curb
From Curb 10 Building I Electric Pumps From Curb to BuiJ<ling
Repair
I
INSIDE WORK
NO. NEW RIP- U"O fliES NO. NE", IRE'. USE' FE" NO. NEW .EP. USED fE'S
IIatb Tub :1c Ivo Garbage DispoßaIo I I (lC Catch Basins
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Wuh BuiD Dishwashers I Conductors
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Water Cl_t "] ~OC Laundr......wo J ¡dO Gr- Catch Buins
8l1l1I: -Iff. Water Softener. Sump Pump II< Ejectors / )00
J VìJ Saniluy Bubblers Bar and Soda Wastes --
WaRr H_...
Shower Baths / lob Urinala
FloĊ Drlllu / jDl Denial Cuspidors
LaUl1dry Tubs Service Sinks I
,-g~ ( fuatlon of the Work Herein Described Fee Verified. Recelpled and Recorded Received Perm!! and Inspection Fees
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-.--...1.-;). __'J...'l. ---.----Inslde -7fi.~--.ClD.-Plbg. Fee.
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In the performance of this work the undersigned owner (or hi. authorire'¡ agent) of s.id premises and his authorized Piumber hereby agree to be bounden by and
submit to all slalutes, city ordinances, and rules and regulations prescribed by the Board of Pubiic Works for Ihe government of Plumbers.
It Is futher agreed by the undersigned that no other use. will be made of Ihe above connections except os hereinafter lisled.
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