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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 819
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71
¡ Lot No.
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/' -------------- Number ------!.
I Ward
I Addüion or Replat
Date
OUTSIDE WORK
N~\¥ SEWEI WATE' STORMS FEES FEES .ElAY S. SEWE' WATE' STORMS fEES
From M8in 10 Curb Seplic Tanks From Main 10 Curb
FNm Curb to BuDding Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO. NEW RIP. USED flES NO. NEW 'EP. USEO fEES NO. NEW 'EP. USED fEES
- ~ - - ~ -
Bath Tub Garbage D~ Catcb Buins
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Wub Buin Dishwuhers Conducto..
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Water CIONI Laundramals Gre... Catch Buins
-
Sink Water Softene.. Sump Pump Be Ejecto..
Water Heate.. / Saniiary Bubbler. Bar and Soda Wastes
Shower Baths Urinale
FloĊ Drains Danlal Cuspido..
f--- - -
Laundry Tubs SerYice Sinks
IDlpec:liolUl Valuation of the Work Herein De.cribed Fee Verified. Receipted and Recorded Received Permit and Inspection Fees
--------.-....------.------.-------.-.-------Oulside $----_!;;;--Q.-.Q--~--~---------------_._--_._-------_.._-_. ----------------------------80.er F-
-----------.---.-..------------------------------------IDIide -=-j~~:::~:; Fee.
---------.-------------------------------------- $---------------__---___00--_----------------------'--__----__00--_-------
---_._------------~-1'ina1 OK $--------.-----------------------.---------------------------------------- '-----_---h__h--___hë-;¡:¡ÿ;;'~;;;;-h---"_h--__--_-------- Date //- ?- 77
In the performarica of this work tho undersigned owner (or his authorired agent) of said premises and his authorized Plumber hereby agree to be bounden by and
submit to all statutes, city ordinances, and rules and rogulations prescribed by the Board of Public Works for the government of Plumbers.
It is futher agreed by the undersigned that no other uses will be mede of the above connections except as hereinafter listed.
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