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~ &, PLUMBING PERMIT - Oshkosh, Wisconsin Permit N? 8273
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I Lot No, I Block I Ward I Addilion or Repla!
OUTSIDE WORK
Date
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NIW SEWEll WATER STORMS FEES FEES RELAY S. SEW" WATER STORMS FEES
From MaiD to Curb Septic Tanks From Main to Curb
Fl'om ClUb to BuUdInsI ¡Ç // ' ~JiJ ,()! Electric Pumps From Curb to Building
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Repair
INSIDE WORK
NO. NEW REP. usm FE.S NO. NEW REP. USED FEES NO. NEW REP. USED FEES
- - -
Bath Tub Garbage DillpooaIo 1- Catcb Bulns
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Wub Bum J,. J 'kð{ Dishwuh... Conductors jt 'U
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Wat... C1œ81 Launclr- Gr...... Catch Basins
BIIIIi: Water Softeners Sump Pump 8< Ejector. I tr¡" ~
Wakr Heaters SR1Û!a:y Bubblers 12 "4 ~,à{ Bar and Soda Wastas
8ho..... Baths Urinals
Floor Dr"'" Dental Cuspidors
Laundry Tub Service 5mb
IDSpscIIO~U2 /- Vaitatlon of the Work Herein Described Fee Verified, Receipted and Recorded Rec1f..ed Permit and Inspection Feas
7-;¡ 1;¿;-- :;,]ï :m .? 2__OU~de t.t2.9___.__..sewer Fees
tllb..--' -&liS-f- ""Jpalde $--.-. _1.;,._O_-Õ--(L_...o.6.__- ------------- -. -'2Af;)___.plbg, Feas
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57:
In thO' performance of this work the undersigned owner (or hi. .uthorized agent) 01 said premi... and hi. authorized Plumber hereby agree to be bounden by and
submit to an statutes, city ordinances, and rules and regulations pre.cribed by Ihe Board of Public W s lor the government 01 Plumbers.
It Is luther ag",ed by the undersigned th.t no other uses will b. mad. of the abov. connactions ex pt as hereinanar listed.
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