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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N? 8818
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Date
I~k I~ 1-
OUTSIDE WORK
I Addilio" or Replat
NEW SEWEll WATEII STORMS lEES FEE' RElAY s. SEWE' WATER STORMS FEES
From MaIn to Curb Septic Tanks From Main to Curb
nom ClUb to Building 1fI'tf- I/I~. 'f"-ÕO Electrio Pumps }"r<>m Curb to Building
Rapair
INSIDE WORK
NO. NEW REP. US9 FlES NO. "EW ROP. USED FE" j NEW REP. USE. fEES
Bath Tub Garbage Dispooala Cúcl, B",,1ns
Wuh Buill Dish......"..... Conducto..
- - -
Wúar Cl_t Lawul1:am&III Gre..... Cúch Bulna
SIIIk Water Softene.. Sump Pump Be Ejectors
Water Heaters Sanita¡¡y Bubblers Bar and Soda Wastes
Showœ Baths Urinals
Floor :craine Dental Cuspidors
LaUllc!ry Tubs Service Sinks
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I""pectlo"" l~Q6.:-;£~~~:__::~:~~:::: Fee Verified. Receipted and Recorded Rec~d Permi! and Inspection Fees
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--- - ----FIDa1 OK: $______h___------------------------ Date I;; A-/f)r-
In th. pltrformanc. of this work th. undersigned owner (or hi. aulhorbad agent) of said preml.es and hi. aulhorired Plumber hereby agree to be bounden by and
submit 10 all statules, city ordinances, and rules and regulalions prescribed by the Board of Public Works for tho government of Plumbers.
It Is fulher agreed by tho underslgnad that no olher uses will bo mode of the above conneclions oxcepl as hereinafter listed.
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~ PlumbIng Ino...,.,
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