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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 180
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NEW SEWD WATER STORMS FEES FEES RElAY S. SEWER WATER STORMS FEES
From MaID to Curb Septic Tanks F~m Main to Curb
FmD Curb 10 BuIldiDg Electric Pumps From Curb to Building
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r:Ck I Ward
,- Addüion o~ Replat
NO. NEW REP. USED FlES NO. NEW REP. USED FEES NO. NEW REP. USID filS
- - - - -
Bath Tub Gubage DII~ Catch Bulns
-
I Wuh BulD ./ I. a!) Dllbwuhers Conductors
- - - - -
Watu CI_t Lauw- Greue Catch Bulns
-
SiDlo: Wate~ Softeners Sump Pump It Eiecto~s
W...~ Heaters Sanituy Bubblers Bu and Soda Wut88
Showu Bathl Urinals
~ DzeiDs Dental Cuspidors
Laundry Tuba Service SlDb
IlII¡18Ctiol18 ValuaUon of the Work HerelD Described Fee Verified. Receipted and Recorded Received Permit and Inspection Fees
---------.--------------------------_--.---OuiBlde $_-dI2Ût2i.ì..--._-----.---.-------------------------- -----------------------.----Sewe~ Fees
--------.-----------------------------------------.----Il18lde -----j'.-'l.P-----.PIbg. Fees
$------------------------------------------.----------------------------- ----L,.-_C2.0--.-----Total
------_.---------------------.------------------- --------------------------c;í:¡T;;;;;~;;;-------'-----------------
----------------------------EiDa1 OK $---------.-------------------------------------------------------------- Date ¥- 2.J 71
OUTSIDE WORK
INSIDE WORK
In the performance 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 statutes, city ordinances. and rules and regulations prescribed by the Soard of Public Works for the government of Plumbers.
It is luther agreed by the undersigned that no other uses will be mede of the above connections except as hereinafter listed.
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