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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 8500
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Date I Lot No. I Block I Ward I Addition or Replat
OUTSIDE WORK
NEW SEWEll WATER STORMS 'EES FEES RELAV S- SE"ER WATEe STORMS 'EES
From MaID to Curb Septic Tanks From Main to Curb
From Curb to BuUdInø Electric Pumps From Curb to Building
Repair
INSIDE WORK
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NO- NEW u,- US'" FlES NO. NEW eEP. us.. m. NO. NEW IE'. USE. FlES
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Beth Tub Garbage DÙlpcoa!s Catcl1 BaaÙUI
Wub Bum Dlihwuhon Conductors
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Water Clooet Laundramllolo Gr...... Catcb BUÙUI
SiDII: / Water Softeners Sump Pump II< Ejectors
Water Heate.. Sonitary Bubblers Bar and Sod.. Wastes
8ho",.. Baths Urinala
noo.. Dralna Dental CWlpldors 1,-
Laundry Tubs Servlœ Sinks
IJllpectloJII Valuation of the Work Herein Described Fee Verified. Receipted and Recorded Received Permit and Impaction Fees
-----------------Onlsicle $- -_.:J../f!_ç;£-,-~- m_________m______--------- ---_m..._-------------Sewer Fees
------------- ----------1III1de -____L_~_"plbg. Fees
---------------- $------------------"'------______00______"'-------- -______l_~_-~_Totel
---------------------F1nel OK $-----------______m______-------------------- -----___m___--__------Cõ¡Y-Ým;;;;;;-"'-------------- Date :? .:2.,.< ,'7--5-
In the performance of this work the undersigned owner (or his authorired agent) of said premise. and his authorized Plumber hereby agr.e to be bounden by end
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 listed.
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Plumbln. In......1...Þ, -B ' 00"_-
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