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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N'i.' 666
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I Block I Ward I Addition or Replat
OUTSIDE WORK
Date
l Lot No.
NIW SEwn WATER STORMS FEES FEES RElAY S. SEWER WATER STORMS FEES
From MaIn to C...b Septic Tanks From Main to Curb
FNm C...b ID BuUcllng Electric Pumps From C...b 10 Builcllng
Repair
INSIDE WORK
110.
NEW
RIP.
REP. I USED
FEES
FEES
NO.
NEW
USED
NO.
NEW
REP.
USED
"ES
Batb Tub
Garbage DiçDoalI
Catch BaslDs
Waab Basin
Dishwashen
Conductorl
Watv Cl_t
Laundramata
Grease Catch BaslDs
I-
L
,./
Sump Pump 8< Ejectorl
1,¡Jz)
Water Softeners
SIDk
Water Heaten
Sanifary Bubblerl
Bar and Soda Wasles
Showv Baths
UriD81s
noor DralDa
Denial Cuspldorl
Laundry Tubs
~~~~=::=:::~-~~::::::::==::::::";;.:~:
Service Sinks
Fee Verified. Receipled and Recorded
Valuation of the Work Herein Described
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$.
s
Received Permit and Inspection Fees
-_........................8ower Fees
....It..eP........Plbg. F..s
...!.,...f!?!?........Total
Date rf¡:3177
.....................--.........................................
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City T,....,",
In the performance of thi. work the undersigned owner (or his euthorized agent) of said premises and his authorized Plumber hereby agree to'be bounden by and
submit 10 all .tatutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
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II Is futher egreed by the undersIgned that no other uses will be mede of the above connections e