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. PLUMBING PERMIT - Oshkosh, Wisconsin Permit d'jr: /I 8642
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I Lot No. I Block I Ward 11.ddiiion or Replat._.-
OUTSIDE WORK
17
Dale
NEW SEWEll WAtER STORMS 'EES I fEES RElAY S. SEWER WATER STORMS fEES
From M8In 10 CIII'b Seplic Tanks Fro", Main to Curb
!'10m CIII'b io Building Electrlo Pumps From CIII'b to Building
Rep!lir
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INSIDE WORK
NO.
NEW
RIP.
NEW
FEES
REP- I USED I m.
NO.
NEW
REP. I USED
USED
FEES
NO.
Bath Tub
Garbago DiIpooa!o
Catch Basins
Wash Basin
Wet.... CIoøI
Dishwashers
Conducto..
LaundrllDl&lli
Gr...... Catch JI..I...
SiDk
Waler Softe"",r.
Sump Pump Ik Ejector.
Wale.- Heaters
Sanitary Bubble..
Bar and Soda Wasle.
Show....BaØuI
UriD81s
Floor Dr"
Denial Cuspldo..
I--
LaUJIciry Tubs
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---..-....-.-...- --...__-...Inside
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Service Sinko
Fee Verified. Receipted and Recorded
Received p~ and Inspection Feeo
.-..-.l:--...--..__..Sewer Fees
--..---..-...=-..-PIbg. Fees
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Dale )tJ-ól:J 7¿;~
Valuation of Ihe Work Herein Descrihed
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In the psnormance of this work the undersigned owner (or hi. authorized agent) of said premises end hi. authorized Plumber h..eby agree to be bounden by and
submit to all statutes, city ordinances, end rules and reguiations 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 .bove connactions except as hereinafter listed.
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-~ PlumblAg In.~~
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