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PLUMBING PERMIT - O$hkosh, Wisconsin Permi! N? 8136
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I B;OCk _I Ward
t Lot 11'0.
DaM
I Addition or Replal
OUTSIDE WORK
NIW SEWEll WAlE. StORMS fEES fEES .ELAY S. SEWE' WAlE. nORMS fEES
From MaiD to Curb b f// rJ1òo Septic Tanks From Main to Curb
From Curb to Building Electric Pumpa From Curb to Building
Repair
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NO.
NEW
RIP.
USIO
flES
NO.
Bath Tub
GubageDiopooaIs
Wuh Suln
Dw......ben
W- Cbat
Sink
Laundrllll1Ù8
Wider Sof1enen
Wator HeaMn
Sanitary Bubblers
S110"'" Baths
Urinals
Floor Drains
Laundry Tulle
Dental Cuspidors
Serv1œ Sinks
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Valuation of Ibe Work Herein Described
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INSIDE WORK
NEW
.EP. I USE.
fEES
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NEW
.EP.
USE.
fEES
Catch Basins
Conductors
Grease Catch Bulns
Sump Pump iii: Ejectors
Bu and Soda Wastes
Fee Verified. Receipted and Recorded
In the performance of this work the undersigned owner (or his euthorlzed egent) of said premises end his authorized Plumber hereby agree to be bounden by and
submit to all stetutes, city ordinances, and rules and regulations prescribed by the B~d of Public Works for the government of Plumbers.
It Is futher agreed by the undersigned that no other uses will ba made of the above connections except IS hereinaftor listed.
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