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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N? 8524
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LLot No. I Block I Ward I Addilion or Replat
OUTSIDE WORK
Date
NIW SEW'. WAY'" .YOIMS fEES Fm RElAY S. SEW'. W"", STOIMS m.
From MaiD to Curb Septic Tanks From Main to Curb
Imm ClUb to Building Electric Pumps From Curb t<> Building
ReplÜr
INSIDE WORK
NO. NEW UP. USED nES NO. NEW "P. USED FEES NO. N'W .... USED fEES
Bath Tub 2. ;<.&-t) Garbege DiøpoeaIa Catch!!"""",
Wuh Bum .2- ;i...-,:} Dishwuhers Conductors
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Wat... Cl....t í .2. ,-t) LaundrlUll&tl! 2. ~_av Grease Catch BulDa
SIDk .:2. 5i..~ Water Softeners Sump Pump II< Ejectors I lc-V
Water Heate... ;;L 2. ' ð-t Sanitary Bubblers Bar and Soda Was!es
Sho",... Baths Urinals
Floor DraiDs / l ,>-0 Dental Cuspidors
Laundry Tubs Service Sinks
I"'I!"dIo"¡Hp ::~ Q:~t:~~~:_::::~-~::::: Fee Verified. Receipted and Recorded Received Permit and Inspection Fees
~--- ---------------------Sewer Fees
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In the perform.nce of this work the undersigned owner (or his authorized ogenl) of soid preml.es and hi. authorized Plumber hereby agree to be bounden by and
submit to all statutes, city ordinances, and rules and regulstlons prescribed by the Bo.rd of Public Works for the government of Plumbers.
It Is futher agreed by the undersigned th.t no other uses will be mode of the above connections eX2~':';:Ii.tedE ~¿'"
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