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PLUMBING PERMIT - Oshkosh, Wisconsin Permi1 N? 283
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OUTSIDE WORK
Date
çj/2.-I7 ?
/
I Addition or Replat
NEW SEwn WATER STORMS FEES FElS R"AY S. SEWER WATE' STORMS FElS
From MaIn 10 Curb Sep1ic Tanks From Main 10 Curb
From ClUb 10 BuDding Electric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO. NEW "',. UIED FlES NO. NEW REP. USEO FElS "O. NEW REP. USED FE"
/ - ~ - -
I Bath Tub I,ÒD Garbage Diopoeabo Ca1ch BaslDl
I Wuh BuiD /' !,ðO Dlsb.ub... Conducton
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I Water CI_1 v" I, fX, Laundrama1s Gre... Catch BulDl
-
Sink Water Softenen Sump Pump II< Ejectors
Water Heaten Sanilary Bubblan Bar and Soda Was1es
Sbower BUbs UriDa1s
noor DralD8 Denial Cuspldon
Laundry Tube Service SiDb
Inspeclions Valuation of tbe Work HereiD Deacribed Fee Verified, Receipted and Recorded Received Permit and InspeclloD Fees
---------------.-.......-------....--.-------__-..0u1lide $/,2(20--:7:..___----------....------..----------..---- ----.----.---------------5ower Fees
.;3-0
.-.......----------.-..........-------...--.-----------Inslde -------...:......._------..Plbg, F..s
$--- -------------------...----------------------.....-----..-----.-..---. '3 ,--0
--...------..--..-----.--.-....----..-.-.---- '----"""-'---""'-"è";¡:¡T;;;;~;;;-"-----"----"-'--"---- -------'---'---...--.......Total
..-..----...-...-----.......----FiDal OK $--..-------------------....----.---.---------------------------------- Date -S:/; 2.../~ 7
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submit to all statutes, city ordinances, and rules end regulations prescribed by the Board of Public Works for the government of Plumbers.
It la futher egraed by the undersigned that no other uses will be made of the above connections except aa her,