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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N<: 345
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I Lot No. I Block ._1 Ward I Addilion or Replat
Dat.
OUTSIDE WORK
NEW SEW" WATEI STORMS FEES FEES I..AY S. SEWER WATEI STOIMS FEES
From M8ID 10 Curb Seplic Taaks From Main 10 Curb
nom Curb to BuDding Electric Pumpa From Curb to BuUding
Repair
INSIDE WORK
NO. NEW Uf. USED FlES NO. NEW REP. USED FEES NO. NEW REP. USED fEES
- - - - -
_Tub - Garbage D~ Catch Bas""
Wuh BasiD Dishwashen Conducto..
- - - - -
Water CI_I Laundramab Gre... Catch BuIDs
Sink Water Soften... Sump Pump Be Ejecto..
Water Heate.. sanUary Bubble.. Bar and Soda Wasles
Shower Bathe UriDale I TìoJ <- r_-r-
frlp-f" y- -~ - -
Floor Dralu Dental Cuspido.. /
Laundry Tube Service SiDks
ID8ped1oJUI valuatZ the Work HereiD Described Fee Verified, Receipted and Rec:orded Received PermU and Inspeclion Fees
__m------------.-.-.-----------..-----_--...Oubide $......._..--_~2c2.([2_--::_.PQ_._.__.---_.---.._...--- ..----m--..-..-------_----Sewer Fees
,.----m--------.------.-....------------------------ID8!de ---¿..9...9...--PIbg, Fee.
$---------------.-...----------------.-----..----------...-.---------------. D~~:----5/)T;h 7
.---------.-.--------------.-------------.------ ---- ------"-------------Ò.ïT;;;.~;;;'-'--'-'--"------'------'
------..--....----.--...---......EiDal OK $---------------------------.------------_---m_....---_-----------.---
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In the performance of this work the undarsigned ownar (or his authorizad agent) of said premises and his authorized Plumber hereby agree to ba boundan by and
submit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It Is futher egreed by the undersigned that no other uses will be made of the above connections except as hereinafter listed.
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