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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N? 48
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OUTSIDE WORK
I Addition or Replat
Daie
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NEW SEWn WAlE. STORMS FEES FEES .ElAY S. SEWER WAIER STORMS FEES
From MaID to Curb Seplic Tanks From Main 10 Curb
From Curb to BuDding Eleclric Pumps From Curb 10 BuÜCÜJ1g
Repair
INSIDE WORK
NO. NEW UP. USED FlES NO. NEW REP. USED FEES 1<0. NEW REP. USED FEES
- - - -
Beth Tub Garbage Diapoeals Catch Buw
f---------- -
Wuh Buln Dlshwuhon 1- Conduclors
- - - -
W- CI_t Lauwamats Greua Caich Buw
f----------
Sink 3 L3."C Wain Softeners Sump Pump 8< Ejeclors
Wilier Heate.. Sanitary Bubblers Bar and Soda Wasles
Shower Baths Urinals
Floor Drains Denial Cuspidors
Laur>c1r7 Tubs Service Sinks
IDSpedions Valualion of Ihe Work Herein Described Fee Verified. Receipled and Recorded Received Permit and Inspecllon F...
-----------------..----------.....-----------Outside $-----~_PQ-_:--~_._-------------_._----_.--..------._... ::::-:.:!:..:~.£~~r F:7
-...---..........-----------...-.----......-........wide
-----..-..------------...-------.--...-..--- $------------....----........---..---------.-..--------....---.----.---.---.
------- ""'-""""'ël;Ÿ'ÿ;;;;~;;;'-"---"---'---'--'---'"
-----------.-------.-------FiDal OK $...---...---.-----.-----.......-....---.....--...-....--..-----.------ Date 3;1."77
In the performance of this work the undersigned owner (or his euthorired agent) of said premises and his authorired Plumber hereby egree to be bounden by end
submit to all statutes. city ordinances. end rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It Is futher agreed by the undersigned that no other uses will be made of the above connections except as h'r.inefter listed.
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