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PLUMBING PERMiT - Oshkosh, Wisconsin Permit N? 8334
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I Lot No. I Block I Ward I Addilion or Replat
OUTSIDE WORK
Dllie
NEW SEWn WATER STORMS FEES ,.ES RElAY s- SEWER WAfER STORMS FEES
From MaIn to Curb Septic Tanks From Main to Curb
FJom Curb to BuUcIII1ø Electric Pumpo From Curb to Building
ReplÚr
INSIDE WORK
NO. NEW l1li'. USED FlES NO- NEW RO.- USE. FEES I NO- NEW ROP. USE' FEES
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Bath Tub Garbage DilpooaIs Catch Basins
Wub BuiD / Ipr.o Dlshwuhen Conductors
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WIIi... CI_I / ;. o-{:I Laundr- Gre..... Caich BulM
SiIIII: /? nx/ / 1/ ð'"G- Wilier Softeners Sump Pump 81: Ejectors
Wide. HeUen Sanitary Bubblers Bar and Soda Wastes j /,t>-O
Show... Bathl Urinals
Floor :Dr'" Dental Cuspidors
LaUDdry Tubs Service SIDks
IMpeetioM Valullilon of the Work Herein Described Fee Verüied. Receipted and Recorded Received Permit and IMpaction F...
------------Outsicle $ m_t£..~~__--_.._-- ------.. ---..- ------...-..------88...e. Fees
------.---------IMlde ---~-'-~_P1bg. Fees
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In th.. perf..rmance of this w..rk the undersigned ..woer (or his authorized agent) of said premises and his autb..rized Plumber hereby agree to be bounden by and
submit to al/ statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It I. luther agreed by the undersigned that no other use. wili be made of the above conneclion. except es hereinalter Ii.ted.
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