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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N? 8035
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L~otll'o, b I Ward
OUTSIDE WORK
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I Addilion or Replat
NEW SEWER WATER STORMS fEES fEES RELAY S. SEW'R WATER StORMS fEES
IDm Maln to Curb Seplic Tanks From Main 10 Curb
FIorD Cub to BuDding Electric Pumps From Curb 10 Builc:ling
Rapair
INSIDE WORK
NO. NEW UP. USEO flES NO. NEW UP. USEO FE" NO. NEW REP. USEO fEES
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Bath Tub Garbage Dilpoaak Caleb Basins
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Wash Buin Dishwashers Conduclors
- - - -
Watw CIOlfI! Laundrunall Grease Catch Bulns
SbIk Water Softeners / ¡.n:! Sump Pump 8< Ejeclors
Watw Heaters Sanitary Bubblers Bar and Soda Wasles
Shew... Baths Urinals
Floor Ihabla Danlal Cuspidors
Laundzy Tubs Service Sinks
IDspect!ons Valuation of Ihe Work Herein Described Fee Verified. Receipled and Recorded Received Permil and Inspeclion Feas
------------------------Oulside $- ---:::Le t!._:.._~------ ------------- ----------- --------------------------Sewer Fees
-----------.------------Inslde __--L_~____Plbg. Fees
--'1rs:;íl7.'£.if-~~ 0; $-----.------------------------------------------------- --------¿,---~::f!-_Toia1
$-------------------------_------__m______--------- ------------------------Ô¡YTr...~;;;_m______----------- Date / -.:2.2 7.5---
In the performence of this work the undersigned owner (or his authorized agent) of said premise. and his authorized Plumber hereby agree to be bounden by end
submit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for tho government of Plumbers.
It Is futher agreed by the undersigned that no other uses will be mede of the ebove conn.ction~cept as hereinaftar listed.
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