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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N<.? 1035
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I Lot Noon n_. . .___n . I BlOC: j Ward I Addilion or Replat
Date
OUTSIDE WORK
NEW SEW" WATER STORMS FEES FE" RElAY S. SEWER WATER STORMS fEIS
F- MaIn to C...b Septic Tanks From Mein to Curb
From C...b to Bulldlng t,../' ....----- ~ Electric Pumps From C...b to Building
Repm
INSIDE WORK
NO.
NEW
NO.
NEW
FEES
REP. I USE.
FEES
"0.
"'W
R'P.
USE.
REP.
USID
filS
_Tub
Garbage Dispooabo
Dishwuh...
Catch Bulns
I-------
Wub Buin
Conduclo"
Water CI_t
Laundr-
Gr.... Catch Bulns
f--
Sink
Water Softene..
Sump Pump 81: Ejectors
Water Heaten
Sanitary Bubblers
Bar and Soda Wules
Shower Baths
UriDela
Floor DrIliDs
Denial Cuspidon
SerYiœ Sinks
Laundry Tubo
laspec:tlons
--.......-....--................................Oubide
..........................................................lnside
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Valuation of Ihe Work Herein Described
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Fee Verified. Receipled and Recorded
Received Permit and laspecilon Fees
....3,..~.......Sewor Fees
....l¿..:n1.........Plbg. Fees
......-':þ..'?P........Tolal
Date / -.2ø~7¿/
'In the performance of thio work the undenigned owner (or his authorired agent) of .aid premise. and hi. author ired Plumber hereby agrae to be bounden by end
submit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumben.
It Is futher agreed by th~ undersigned that no other use. will be mede of the above connection. except a. hereinaltar lioted.
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