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PLUMBING PERMIT -¡,Oshkosh, Wisconsin Permit N': 8083
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---I Lol Ho. 1_.J!lOOk I Ward I Addition or Replot
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OUTSIDE WORK
NEW SEWEI WATEI STORMS FEES FEES RELAY S. SEWER WATER STORMS FEES
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From MaID to Curb Septic Tanks From Main to Curb
From Curb to BuUdIq Eleotrio Pumps From Curb to Building
Repair
INSIDE WORK
NO. NEW REP. USED FlES 110. N'W REP. USEO FEES "O- NEW REP. USEO FUS
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Bath Tub Gubege Diapooela Cùc:h ¡¡¡uiDs
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Wub Buin Disbwillhen Conductors
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Wat- CI"""t LaundrllllLats Grease Catch BuiDs
SbIk Water Softeners Sump Pump 81: Ejeotors
Wate Heaten / 1},o6 Sanitary Bubblen Bu and Soda WIllIes
8ho- Baths UriDlIIs
nocr Dratns Denial Cuspidon
LaIlDc!ry Tubs Senioe Sinks
Iuspeotious ValÆion of the Work Herein Described Fee Verified. Receipted and Recorded Received Permit and IuspeotioD Fees
---------------- ---- ------ Outside $---___.V..2L__!1.--\;I_--------------------------------- -tt,--------------__-..8ewer Fees
--. --- -------- ------------wide -~-~------'pIbg. Fees
----77Sj.tÚ~ - ;iILal 0; $---------------------------------------------------- --------------------Total
$----------------------------------------- ---'-------------------c,¡;¡ÿ;e.;,;;;;----------------- Date -/-dl- 1_5-
In the performanc.. of this work th.. undersignad owner (or his authoriz..d agent) of said premises and his authorized Plumber hereby agree to be bounden by and
submit to all stalutes, oity ordinances. and rul... and reguialions presoribad by the Board 01 Public Works for the government of Plumbers.
It Is fulher agreed by the und..rslgned that no other uses will be made of the above <onneotlons except as hereinaf\Or Ii_sted.
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