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PLUMBING PERMIT - Oshkosh, Wisconsin Pernût N~ 8295
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I Lot No. I Block I Ward I Addilion or Replat
OUTSIDE WORK
Date
NEW SEWER WA'ER STORMS fEES nos RELAY S. SEWE. WA'ER STORMS FEES
From Mein to Curb Septic Tanks From Main 10 Curb
From Curb 10 Bu11cI1nsr .;~/ /bJJ ~ Electric Pumps From Curb to Building
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Repair
NO. NEW REP. USED flES NO. NEW "P. USED fEES NO. NEW IEP. USED fEES
7 -
1IIath Tub )iO?J Garbage DiIpoIaIs - Catch Basins
Wuh BasID / ),ð"v Dishwashen T ;;o~ Conductors
- - -
Wate CIOI8t I Ij~ q!) Laundramats I I- OZ Grease Catch Basins
S1ak / j,& Water Softeners Sump Pump &: Ejectors / /.o¿
Water Heaters j pfF6 Sanitary Bubblers Bar and Soda Wastes
Shower .Baths Urinals
Floor DrelDa I tIn Dentel Cuspidors -
La\U1chy Tubs Service Sinks
IDlpecti~ :L Vluation of the Work Herein Described Fee Verified. Receipted and Recorded Receivj,permü and IDlpeclion Feas
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$-h2:,ß..2._L~~_---__-_._---------------- ---------,-----------Sewer Fees
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----- _-'.L_!ZJL_Totel
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INSIDE WORK
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In the peñormanca <>f this work the undorsigned owner (or his authorized agent) <>, said preml... and his authorired Plumber hereby agree 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 Plumbe...
It is futher agreed by the undersigned that no other u..s will be made of the above connections e"cept a. hereinajter listed.
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