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PLUMBING PERMIT - Oshkosh, Wisconsin Permit Nr: 8888
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I Lot Ho. I Block I Ward I Addiiion or Replat
OUTSIDE WORK
Dafe
NIW SEWER WATER STORMS fEES FEES RELAY S. SEWER WATER STORMS FEES
From MaIn to Curb Septic Tanks From Main 10 Curb
From Curb Iø Building ¡J" {/-r / < (7", ~ Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO. NEW UP. USED FE.. NO. NEW REP. USED FEES NO. NEW REP. USED FEES
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Batb Tub Garbage Dio~ Catch Basins
Wuh Basht Dishwuhers Conductors
- - -
Wafer Cl_t Laundzamall Gre..... CLlch Bu1ns
SIDk Water Softeners Sump Pump 8< Ejectors
Wafer Hwers Sanituy Bubblers Bar and Soda Wutes
\\\hoW$l' Batbs Urinals
:noor Dralu Dentat Cuspidors
Laundry Tubs Service Shtks
IIISpectiollS Valuation of the Work Herein De.crihed Fee Verified. Receipted and Recorded Received ;~ü and Inspection Fees
----------------- ----Outside $--~:_:~--------------------------- ---J,-----------.sewer Fees
----_.---------- --------------III8lde ------.L!_:!_--Plbg, Fees
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$-------------------------------------- --------------'------C-I;;'-ir.;;;~,e;---------------------- Date /,fl .,áJ e- 7--S~
In the performance of this work the undersigned owner (or hi. authorized agent) of ..id premise. and his authorized Plumber hereby agree to be bounden by ...d
submit to all sta,tutes. city ordinances. and rul.. and regulations prescribed by Ihe Boord of Public Works for the gove,nment of Plumbe,..
It Is fulher agreed by the undersigned that no other uses will be made of the above connections except as hereinafter listed.
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