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. PLUMBING PERMIT - Oshkosh, Wisèonsin Permit N? 8071
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L~ot No. I Block I Ward Addition or Replat
OUTSIDE WORK
Date
NIW SEWER WAtER STORMS FEES FE" RELAY S. SEWER WATER STORMS FEES
From MaIn to Curb Seplic Tanks From Main to Curb
From Club 10 BDUellng ~ (1-1". 1//,..- ~~ Electric Pumps From Curb 10 Building
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Repair
INSIDE WORK
NO. NEW RIP. USII> FRES NO. HEW REP. USED FEES HD. HEW REP. USED FEES
Bath Tub Garbage DÏIpoIaJJo Catch Basm.
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Wash Basin Dishwashers - Conduclo..
- -
Water CJ- LaUDdr- Grease Catch Bum.
Sbik Water Sofie..... Sump Pump Ik Ejectors
water Heaters Sanitary Bubble.. Bar and Soda Wastes
Shower Baths UrIDals
Floor Dral12s Dental Cuspidors
LaW!1Ciry Tubs Se1"f"ice Sinks
Iupectiou d}, Þ. VZion of the Work Herein Described Fee Verified. Receipted and Recorded Roc7,d Permi! and InspoclloD Fees
__.$..:t_vLJ. _.L~ .i----Outside $.._-'#-.s.á..!...2..~----------_._-------- ------. --~_!2.~--____Sewer Fees
-------------------------Inside --- .. ~Q------PIbg. Fees
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In Ih. ""rformance of Ihis work the und.rsigned owner (or his authorized ag..nl) of said premises and his authorized Plumber hereby agree to be bounden by end
submit to ali slelutes, city ordinances, and rules and regulations prescribed by Ihe Board of Public Works for the government of Plumbers.
It is luther agreed by the und.rslgned that no other uses will be mad. 01 th.. above connections except as hereinaflor-"
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