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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N? 8303
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I_Lot NO" -, Block I Ward I Addiiion or Replnt -
OUTSIDE WORK
Date
NEW SEWEI WAT'R STORMS FEES "ES .ELAY S- SEWER WATER STORMS 'EES
From MaiD 10 Curb Seplic Tanks From Main 10 Curb
FIom Clilb to Building Eleclrlc Pumps From Curb 10 Building
Repair
INSIDE WORK
NO, NEW UP. USED fiGS NO. NEW REP, USE. FEES NO. NEW REP. USE. 'EES
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Bath Tub I 1/ o-d Garbage Dispocak CUcb Bums
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Wuh Bubs ~ L1 rV Dishwuh.... Conduclors
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Water CI_I J- Laundr8lll&tl f ¡.trO Gre.... Catch Basins
Sink ( II- o--fJ Water Softeners Sump Pump 81: Ejeclors I LI$'
Wafer Healers I /.0--& Senitary Bubblers Bar and Soda Wasl..
Shower Baihs UriDals
n- Drahss / J- o-é> Denial Cuspidors
LaWldry Tubs Service Sinks
Ioapections. ,,¿;,; ..../ Valuation of Ihe Work Herein Described Fee Verilied, Receipled and Recorded Received Permit and Inspec!ion Fees
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Iß the performlßce of this work the undlrsigned owner (or hi. luthori.ed agent) of .aid premise. and hi. authori.ed Plumber hereby agr.e to b. bounden by and
submit to all statutes, city ordinanc.., and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It Is futher agreed by the undersigned that no other uses will be made of the above connections exce
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