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PLUMBING PERMIT - Oshkosh Wisconsin Permll N<? 1802
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I Lot No. I~ I Ward .~ Addilion or Replat
OUTSIDE WORK
Due
NEW SEWEI WATER STORMS FEES FEES RELAY I S. SEWER WATER STORMS FEES
From Main 10 Curb Sepllc Tanks From Main 10 Curb
Fzom Curb 10 Building V ""-- ~ Eleclrlc Pumps From Curb 10 Building
Repair
INSIDE WORK
NO.
NEW
REP.
FOES
NO.
NEW
REP. I USE.
FEES
NEW
FEES
REP.
USIa
"0.
USED
Ba!b Tub
aubage Dilposala
Ca!ch Bulns
I----
Wuh Bum
DilhwBlh...
Conducl.rs
Wuer CI_t
Laundrama!R
areue Cuch Bulns
I--
SIDk
Wuer Softeners
Sump Pump 8< Ejeclors
Water Heue..
Sanitary Bubblers
Bu and Soda WBlles
Shower BaIhI
UriDals
Floor Dralu
Dentel Cuspidors
Laundry Tuba
Service Sinks
IDipecI!oDl ,. /
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Valuation of Ihe Work Herein Described
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Fee Verified. Receipled and Recorded
Received Permil and Inspection Fees
... ....~~.~....Sewer F-
J....:::fÆ:~:::~::'; Fees
Due (~/Í 7'/7.;/
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In the performance of this work the undersigned owner (or his authori.ad agent) of said premises and his authori.ed Plumber hereby agree to be bounden by and
submit to all stetutes, city ordinance., and rule. and regulations prescribed by the Board of Public Works for the governmant of Plumbers.
It Is futher agreed by the undersigned that no "ther uses will be made of the above connections except as hereinafter listed.
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