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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 508
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I LoJ No. I BlOCk- 1 Ward I Addition or Replot
OUTSIDE WORK
Date
NEW SEwn WAtER STORMS FEES FEES RELAY S. SEWER WAtER STORMS FEES
From MelD to Curb Septic Tank. From Mein to Curb
From Curb 10 BuDding Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO.
NEW
UP.
NEW
NO.
FEES
REP. I USED
FEES
NEW
REP.
USID
USID
HES
NO.
Batb Tub
Gorbaga Dilpouls
Catch Basins
Wub Bum
Dilbwuhan
Conducton
--¡-
-,-
WIIIar CI_t
Laundramall
Greus Catch BuiDI
SIIIk
Water Softeners
I
Sump Pump 8< Ejectors
/1
I,m
Water Heate..
sanUory Bubble..
Bor and Soda Wutes
Shower Baths
Urinals
Floor Dr8IDI
Dental Cuspido..
Laundry Tubs
Serrice Sinks
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Valuation of the Work Herein Described
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Fee Verified. Receipted and Recorded
Received Permit and Inspection Fees
m------m_------m--mSewer Fees
mA.Ø?___m_PIbg, F..s
--/(:ð!m----------Total
Date 7/'-ý/77
"
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City T'....,.,
-------------.---------FiDaI OK
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In the performanca of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree (0 be' boundan by ...d
submit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
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