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PLUMBING PERMIT - Oshkosh, Wisconsin Permil N? 1386 'Á
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Dlde ?, -- fJ!:f - 7'¡ I Lo.I No. I Block I Ward I Addition or Replld '
OUTSIDE WORK
NIW SEwn WATER STORMS FEES fEES RILAV S- SEWER WATER STORMS fEES
From MaIn 10 Curb A '6//,/ tØØ Seplic Tanks From Main 10 Curb
From Curb 10 BuUdlng ,/ ,3":1" Electric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO.
NEW
...-
NO-
NEW
RE.- I USED
NO-
NEW
RE..
fEES
USED
FEES
USED
liES
Baib Tub
Garbage Dispooah
Catch Basins
Wub Basin
Dishwashers
Conduclon
Wid.. CIONI
Laundramals
Gre... Cldch Basins
I--
SIDk
Wider SofIenen
Sump Pump Be Ejeclon
Water Heiden
Sanitary Bubblen
Bar and Soda Wasles
Show.. BaIha
Urinals
F1oor Drains
Denial Cuspidon
Laundry Tube
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Service Sinks
Valuation of ~ork Herein Described
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Fee Verified. Receipled and Recorded
Received Permit and Inspection Fees
---_.3!..l:?_QnnmSewer Fees
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Dale 101.21 /? l'
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In the performance of this work the undersigned owner (or his authorized agent) 01 said premises and his authorized Plumber hereby agree to be bounden by and
submit to ell statutes. city ordinances, and rules and regulations prescribed by the Board of Public Works lor the government of Plumbers.
It is luther agreed by th~ undersigned that no other uses will be made 01 the above connections except as hereinaltar listed.
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