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PLUMBING PERMIT -Oshkosh, Wisconsin Permit Nc.? 1578þ
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I Lot No. -- ---- .J Block I Ward I Addition or Replat
Date 8" - 3C!lK
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NIW SEwn WATER STORMS FEES FE" RElAY S. SEWER WATER srORMS FEES
From MaID. 10 C....b }J< Septic Tanks From Main 10 Curb
From C....b to Bundln" 41/ /" Electric Pumps From Curb 10 Building
Repair
OUTSIDE WORK
INSIDE WORK
NO.
NEW
REP.
USED
flES
NO.
NEW
REP. I USEO
fEES
NO.
NEW
REP.
USED
fEES
_Tub
Garbage Di8pooa]o
Di8bwuhen
Catch BulDs
Wub BulD
Conduclo..
Water Cl0l81
Laundrema18
Greue Catch Bulns
--
SiDk
Water Softene..
Sump Pump II< Ejectors
Water Heate..
Sanitary Bubble..
Bar and Soda Wules
Shower Bathl
UriDala
Floor DraiDa
Denial Cuspido..
I
i ()
Laundry Tub8
~:~.:_..----..------......._._...---Oulside
Service SlDb
......-...-------m.....-...---.-m..--..--d--.-----Inside
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Valuation of Ihe Work HerelD Described
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Fee Verified, Receipted and Recorded
---..
.............."....---........--.----------..----..
City T,....,",
Received Permit and Inspection Fe..
---_3,..~--------Sewer F-
...../.mr:::.......---Plbg. Fee.
_....1.-erf?..---......TOlal
Dale
In the performlncl of this work the undersigned owner (or hi. luthorired agent) of said premises Ind his luthorlred Plumber hereby Igrle to be bounden by and
.ubmit to III stltutes, city ordinlnces. Ind rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It is futher Igreed by the undersigned thlt no other uses will be made of the Ibove connections...!.xcept IS hereinlfter listed.
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