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PLUMBING PERMIT - Oshkosh, Wisconsin Permit Nr.' 8340
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J LI.C>tNoo I Block r/ Ward I Addilion or Replat
OUTSIDE WORK
Date
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NEW SlW'" WAf'" STORMS ms 'EES .ELAY S. 'EW'. WATE. STORMS 'EES
From MaID to Curb Septic Tanko From Maîn !o Curb
bolD Cub to BuIlcllnø Electric Pumpe From Curb to Building
Repaîr
INSIDE WORK
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NO. NEW UP. USiO "'S NO. NEW .EP. USE. FE.. NO. NEW REP. USE. FEES
f---- -
Bath Tub Garbag" Diapoea]s Catch Basins
I-
Wub BulD Diab......hen CondUC!OIl
Water Clooet Laundramab Grease Catch Basins
Sb>II: I /J7V Water Softeners Sump Pump 8r: Ejectors
Weior Heaten Sanitary Bubblers Bar and Soda Wastes
Show.... .Baths UriDaia
Floor Dr" Dental Cuspido..
Laundry Tubs Service 81Dks
Inspections Valuation of the Work HerelD Descril>ed Fee Verified. Receipted and Recorded Received Permit and Inspection Fees
--.------------.---Outslde /7fc,v-cJ -----------._-------..sewer Fees
$-.----------------------------------------------...-.. --_.L':"'~_PIbg. Fees
-----------.----------Inside
$-...------------...-----------.------------------ --__--L_~_- Total
------------------ -----""'-----------""'CI¡Y-T~.;;;;~;e;-"-------'--------' Date &0 V--" 7 5-"
------------FiDaI OK $-------...-------------...------..------...-----------..-
In the performance of this work the undersigned owner (or his authorired agent) of said premises and hi. authorized Plumber hereby agree to be bounden by end
submit to all statutes, city ordinances. and ...,1.. and reguiatlons pres.rib.d by the Board e>f Public Works for tha government of Plumbers.
It Is futher agreed by the undersigned that no other uses will be made of the above connections except as hereinalter Ii.ted.
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