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PLUMBING PERMIT - Oshkosh, ",isconsin Pe~mlt N? 8087
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I Lot Bo. -I Block I Ward
OUTSIDE WORK
I Addiiion or Replat
NIW SEwm WAym STORMS 'EES 'EES .ELAY S. SEWE. WATER STORMS FEES
From MaiD to Cub Septic Tanks From Main 10 Curb
ImID ClU'b to Building EleclEic Pumps From Cub 10 Building
Repair
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INSIDE WORK
NO. NIW RIP. USED FIlS NO. NEW .EP. USE. 'E'S NO. NEW .EP. USE. "ES
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Bath Tub Garbaga Dilpoøa!o Catch Basins
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Wub Basill Dlshwuhan Conductors
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Watv Clooet Laundramall Grease Catch Bulns
BbIk Water Softeners Sump Pump Be Ejectors
Water Heaters Sanitary Bubblers Bar and Soda WaItes
Shower BathE UriøaIs
Floor Dr" Denial Cuspidors
Laundzy Tuba Senice Sillb
IlISpsctIons ¥.~M.~:~~-- :::__:::~-~::=:: Fee Verified. Recelpled and Recorded Received Permit and Inspection Fees
----.----------.------OutsIda -"J'J';-----------....-Sewer Fees
------------.........--------------Inslde \ --:t....;:r..9.._---_Plbg, Fees
---7FtftJ.L:"'-~ 0; $-----------.--.-------.-------------.---...------ $tiL_Q---------Total
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In the performance of this work the undersigned owner (or his authorbed agent) of said premis.s and his authorired Plumber hereby agree to be bounden by and
submit to all statutes, city ordinances. and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It Is futher agreed by the undersigned that no other uses will be made of the above connections except as hereinafter Ii~Jed;------
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PlumbIng In_'
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