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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N?
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I Lot No. ) Block I Ward I Addition or R:lat
OUTSIDE WORK
147ft
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Date
NEW SEwn WAtER STORMS FEES FEES RELAY S. SEWEI WATEI STORMS fEES
From Main 10 Curb Septic Tanks From Main to Curb
Pm... Curb to Building Electric Pumps From Curb to BuücUng
Repair
INSIDE WORK
,
NO. NEW UP. USED flES NO. NEW IEP. USED FEES NO. NEW REP. USED FEES
-
I Bath Tub v ~ Garbage Dispooa1a Catch BulDa
-
I Wash Bum /" /".- DiJhwuhen - Conductors
- - - -
I Water Cl_1 ,/' If/ Laundramale Greue Catch BuiDs
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Sbsk Water Softeners Sump Pump Be Ejector.
Water Heaten Sanitary Bubblen Bar and Soda Wasle.
Shower Batha Urina1s
Floor DrÚDI Dental Cuspidors I~ 1-
- -
Laundry Tuba Service Sinks
hsapeclions Valualion of the Work Herem Described Fee Verified. Receipted and Recorded Received Permit and Inspection Fees
~Eg.:T=::l¡;-;¡Þ~":~: $£/JêJ)!":-.-...--------...-..--------........--- ...n---.---__--------------Sewer Fees
---ng:n~n_-Plbg. Fees
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---------------------------F1naI OK $--------------.------------.-- ----------____n____--_-----------------
In the performanca of Ihi. work tha undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree tó be bounden by and
submit to all statutes. city ordinances. and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
e undersigned that no other uses will be made of the above connections except as hereinaltar listed.