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- PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 8690
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OUTSIDE WORK
77
I Ad(\il;o_n_orll-"_l'laz
DII!e
NEW SEWn WATER srORMS fEES fEES .ElAY S- SEWER WATER srORMS fEES
Fmm MaiD to Curb Septic TsDks From Main 10 Curb
From Curb So BulicIInø J. '. ¡1./ / '. rt., ~ Eleelr;c Pumps From Curb 10 Building
Repair
INSIDE WORK
110. NEW REP- USED .... NO. NEW .,P- ",.. FEES NO- NEW ..P. use. ,.es
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Bath Tub Garbage DlopooaIa C- Basins
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Wub BuiD DIsb.....ben Conduelors
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Wet. Clooet Laundr- Gre..... Caleb Buins
SIIIIe Water Softeners Sump Pump 8< Ejeclors
Watft Heaten Sollary Bubblers Bar and Socia Wasles
Shower J5atha Urinals
Floor Dralna Denial Cuspidors
Laundry Tubs Service Sinks
Iapactio"" Valualion of Ihe Work Herein Described Fee Verified, Receipted and Recorded Received Permll and I""paelioD Fees
------------- _---Outside $..._.#L2à..c~___----_.._---_.._- ..__3...~_..-.sewer Fees
......-----__--_-Inside ___L~_-Plbg. Fees
31wc- ~!nal~ $....-.-----..-----------..---....----- ......4-q;2-__Total
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In Ihe performlnce of Ihis work the undersigned owner (or hi. eulhori.ed agenl) of .aid premi... and his authorized Plumber he.eby egree to be bounden by and
submit to III .tatutes, city ordinance., and rules and regulation. pres. ribs<! b~ard of Public Works for the go.ernment of Piumb.rs.
It Is futher agreed by the undersigned thlt no othe. use. will b. made 01 tho 0130.. connections except a. hereinafte. lisled.
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