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PLUMBING PERMiT - Oshkosh, Wisconsin Permit N~ 8962
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I Lot Ho. I Block I Ward I Addition or Replat
OUTSIDE WORK
Date
NIW SEWEll WAUR STORMS lEES 'EES RelAY S- Sf"'E' WA"R STORMS FEES
From Mah1 to Curb Septic Tanks From Main to Curb
From Curb to BuDding Electric Pumps From Curb to Building
Repm I
INSIDE WORK
110. NEW RIP. USED FlES NO. NEW RiP. ~ FEES NO. NEW REP. USEO FEES
Bùb Tub / »"0/ GlU'bago DiopoeaJs I I,¡)< Catch Basins
2. a;œ I--
Wuh Basin Dishwas!>.... - Cowluclor.
7 - -
Water CI_I :2 :1.., ð' Laundrlll!1&tø j,Óð Grease Catch Basins
8bIk / ),06 Water Softe...... Sump Pump 8< Ejectors I /#0.
Water Healers / I,M Sanilazy Bubblers DIU' and Soda Wutes
Shower Bùbs ~ UriDals
Floor Dralllll / j,(}¡; Dente! Cuspidors
La-dry Tubs Service Sinks
Jlllpect olll Veluaiion of Ihe Work Herein Described Fee Verified. Receipled and Recorded Received Permit and Inspection Fees
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$-------------------------...---.-----.---------- 17'/.L.~QÇ}_.PIbg. Fees
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In the performance of this work the undersigned owner (or his authori.aò agent) of said premis.. and hi. authorized Plumber hereby agree to be bounden by IIId
submit to all statutes. city ordinances. and rules and regulation. prescribed by the Board of Puhllc Wcrks for the government 0 I.umbers.
It is futher agreed by the undersigned that no olher uses will ba ",ade of the above connections except as hereinafter red-
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