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PLUMBING PERMIT - Oshkosh, Wisconsin . Permit df1 830
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I Lot No. ._un. .J Block I Ward I Addition or Replat
Date
OUTSIDE WORK
NEW SEwn WATER STORMS fEES FEES RELAY S. SEWER WATER STORMS fEES
From MaID to C...b Septic Tanks From Main to Curb
IWm C...b 10 BuDding Electric Pumps From C...b 10 Building
Repair
INSIDE WORK
NO.
NEW
UP.
NO.
NEW
REP. I USED
NO.
NEW
fEES
REP.
USED
FEES
USED
FlES
Beth Tub
Garbage Dia~
Catch BaslDl
f-------
Wasb Basin
Diahwashers
Conductors
I~-
WatN Cl_t
Laundramats
Gre.... Catch BaslDl
f--
SIIIk
Water Softeners
Sump Pump Ik Ejectors
Water Heaters
/
L"'
Sanitary Bubblers
Bar and Soda Wasles
ShoWN Baths
Urinols
Floor DraIDa
Laundzy Tubs
Dental Cuspidors
Sernce Sinks
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Valuation of the Work Herein Described
$....';:!{2.Ç¿.L.~....................._.._..............-
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Fee Verified, Receipted and Recorded
Received Permit and Inspection Fees
............................Sewer Fees
::::~/::~~:::::; Fees
Date //- 7. 7 7
-
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C;ty T,......,
In the Perforlna.;ce of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hareby agree to be bounden by ond
submit to all statutas, city ordinances, and rules and regulations prescribed by tha Board of Public Works for tha govarnmant of Plumbars.
I! Is futher agreed by the undersigned that no other uses will be mada of the abova connections except as hereinafter listed.
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