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PLUMBING PERMIT - Oshkosh, Wisconsin
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Data
I I V ' I
Lot No. Block Ward
OUTSIDE WORK
I Addition or Replat
Naw SlW!8 WATER STORMS FEES FEES RELAY S. SEWER WATER STORMS FEES
From MaIn to Curb Septic Tenks From Main to Curb
FMm Curb to BuDding ¡þ '. (lJ' /" <Z. ~ Electric Pumps From Curb to Building
Repair
INSIDE WORK
110. NEW UP- USED FlES NO. NEW REP. USED FEES tlO. NEW REP. USED FEES
- - -
Bùb Tub Garbage DÙlpou]s Ca1ch Bulns
- -
Wub BasiD DÙlhwuhen 1- Conductors
- - - -
WatN CI_t Laundramabl Gre... Catch Bulns
Sink Water Softeners Sump Pump 8c Ejeclors
WatN Heaters Sanitary Bubblers Bar and Soda Wules
ShoWN Baths UriDals
noor Dr8lu Denial Cuspidors
- - -
Laundzy Tubs Service Sinks
1DSpeclions Valuation of the Work Herein Described Fee Verified, Receipted and Recorded Received Permit and Inspection Fees
-------------------------------_n_-----_----Oulside S-~$]j_:_,!!?----------------------------------------- ___hh_.á.'_~n--Sewer Fees
.-----n--------------n--------------------------1nside ----_nnF_l:12___plbg. Fees
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In the performance of thi. work the undenigned owner (or his authorlred agent) of said premises and his authorlred Plumber heraby agree to be bounden by and
submit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Work. for the government of Plumbers.
I! Is futher agreed by the undersigned that no other uses will be made of the above connections except as hereinafter I:~
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'd Plumber
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