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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N<.' 407
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I~ I Ward
OUTSIDE WORK
j Lot Ho.
I Addition or Replat
Dale
NEW SEwn WAtER STORMS fEES fE" RELAY S. SEWER WATER STORMS fE..
From Main 10 CUl'b Seplic Tanks From Main 10 Curb
FJom CUl'b 10 BuDding Eleclric Pumps From Curb 10 Building
Repair
INSIDE WORK
110.
NEW
u,.
NO.
NEW
REP. I USED
NEW
fEES
R...I USED
fE..
tlo.
USED
flES
BaIb Tub
Garbage D1s~
CaIc:h Bulna
Wuh Basin
Dlsbwashen
Conducloro
WaIw CI_I
LaunmlUlUSb
Gr- Calch Basins
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SIDk
Waler Softenero
Sump Pump II: Ejecloro
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Saniluy Bubb1ero
Bar and Soda Wasles
I,ò¿
Waler Healen
Shower Baths
Urina1e
noor Draills
Denial Culpidon
Laundry Tubs
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Service Sinks
Fee Verified, Receipled and Recorded
Received Permit and InspectIon Fees
--------------------------Sew.. Fees
---/!...~--------_PIbg. Fees
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Dale ¿p Äð/z 7
Valuation of Ibe Work Herein Described
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City T...."..
In the ~rformlnce of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to be bounden by and
submit to all Itatutes, city ordinances, and 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 hereinafter listed.
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