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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N? 8727
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I Lot No. -, Block I Ward Addi!ion or Replat
OUTSIDE WORK
Dale
NEW SEWEll WATER STORMS fEES "'S RElAY S- SEWER WATER STORMS fEES
From MaiIt to Curb Septic Tanks From Main to Curb
FIom Curb to Building Electric Pumps From Curb to Building
Repair ¡/ -rIAl)
INSIDE WORK
NO.
NEW
....
USEO
filS
NO.
NEW
R'P. I US,.
FEES
NO.
NEW
REP. I USE.
fEES
1Batb Tub
Garbage Dispo&aIs
Catch Bums
1-
Wuh Buln
Water CIClMt
Dishw...hen
Conductors
-,-
Lauw:ù:-
Grease Catch B..ina
Siak
Water Softeners
Sump Pump Ik Ejectors
Waler Heate..
Sanitary Bubble...
Bar and Soda W...tes
Sho..... ,Baths
UriDaIs
Floor Dralu
Dental Cuspidors
LIIuncl.!y Tullo
Service Sma
~DI~:_--_.._--_____Outsld. ~~~~_:~s;:_:~~- He~~~~~:=: Fee VerifietL Receipted end Recorded R~~2-.~l~:~=.:n;:lon Fees
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In the performance of this work the undersigned owner (or his authorized agent) of .oid premis.s and hi. authodred Piumber hereby agree to be bounden by end
submit to all statutes, city ordinances, and rules and regulations pre.cribed by the Bo.rd of Public Work. for the government of Piumbors.
It is futher agreed by the undersigned that no other use. will b. n,ade of the above connection. except .s herein.ller Ii.ted.
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