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PLUMBING PERMIT - Oshkosh, Wisconsin /~J~ermll N~ 97
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I Lot Ko, -I Block I Ward
OUTSIDE WORK
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Data
NEW SEwn WATER srORMS lEES FEES RELAY S. SEWER WATER sroRMS FEES
From MaIn 10 Curb Septic Tanks From Main 10 Curb
From Curb 10 BuDding If'!~ /f ~A1 ~OÒ Eleclric Pumps From Curb 10 Building
Cib.5 '
Repair
INSIDE WORK
NO. NEW REP. USID flU NO. NEW REP. USED FEES NO. NEW REP. USED FEES
c-------- - ~ - -
BalhTW> Garbage DiIposaIs Caleb Bulns
1-
Wuh Buin Disbwuhers Conductors
1- - -
Water CI_I Laundramals Gre... Catch Bulna
-
Sink Water Softeners Sump Pump" Ejeclors
Water Heaters Sanllary Bubblers Bar and Soda Wules
Shower Baths Urinals
noor DrelDa Denial Cuspidors
Laundry Tubs Service Sinks
Inspeclions Valuation of Ihe Work Herein Described Fee Verified, Receipted and Recorded Received Permll and Impec!!on Fees
-------_0.__0._-_' .----- -- ----0.--- - ------- Outside $.;f2o..(i,_____Q22______------------------------ ---~-QÞ_--__-_Sewer Fees
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$-0.--------------------------------------0.--0.-------------0._-------- Dote - j>~ p-/5?
In the performance of this work the undersigned owner (or hi. authorized agent) of said premise. and hi. authorized Plumber hereby agree to 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.
It I. futher agreed by the undersigned that no other use. will be mode of the above connection. except a. hereinafter listed.
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