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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N? 8870
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Dale L1.c>t_NO. ~IO"k I Ward I AddWon or Replnt
NIW SEWEll WATER STORMS FE" FEES RELAY S. "VIER WATER STORMS FEES
From Mein to Curb Seplic Tanks From Mol" to Curb
FRom Cub to BnUcilng Eleclric Pumpo From Curb 10 Building
Repair
OUTSIDE WORK
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NIl. NEW UP. us... RES NO. NEW REP. U"D FEES NO. NEW REP. USED 'EES
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Batb Tub Garbage DiIpooaJo Caiob Bu"",
Wub Buhl j I¡¿J-{) Dlshwub.... Conduc.loro
1/,-0 - - - -
Wilier CI_t / Laundr- Groua Cateb Buimo
ShIk Water Softeners Sump Pump 8< Ejeclors
Wator Heaters Saniluy Bubblers Bar and Soda Wutes
Sho'llfer JlaIhs UriDa1s
FIoœ Dr"'" Denlel Cuspidors
Lauaðry TubE Senice Shlb
Inspec:l1ons Valuation of the Work Hereiu Described Fee Verified. Receipted and Recorded Received Permit and Inspec.lion Fees
---- ---.--..-----.. ---Outside $...------i.-:LQa--:~----__._---_.--._-- ------..------------.--.8ewer Fees
-....-----...------..--wlde .__--~..:L~..."'pIbg. Fees
-------------- $........------.----....-------.----------.-------- --_._--'¿.~~--To eI
-----FhIe1 OK $--_. ---------- -----'----------'--"'c'íYŸ;;;.;;;;;----"'--'--'--"""'" Date /.2 -c.2:; ?S--
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INSIDE WORK
In the porforma"ce of this work the undersigned ownar (or hi. authorized agent) of .aid proml,.. and his authorized Plumber hereby agree to be bounden by and
submit to all statutes, city ordinances. and rules and regulations prescribed by the Board of Public Works for the governmant of Plumbers.
It is futhar agreed by the undersigned that no other uses will ba made of the ebove connections except as hereinafter listed.
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