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PLUMBING PERMIT - Oshkosh, Wisconsin Permll N? 9989
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[ Lot No.
r Block I Werd
I Addition or Replat
Date
OUTSIDE WORK
Nnw SEWD WATER STORMS FEES fEES RELAY S. SEWER WATER STORMS FEES
From MaIn 10 Curb Septic Tanks From Main 10 Curb
~ Curb 10 Building Eleclric Pumps From Curb 10 Building
Repair
-
INSIDE WORK
NO. NEW UP. USED liES NO. NEW REP. USED FEES 1<0. NEW REP. USED FEES
/ AW - ~ ~ -
BathTub Garbage Dispooalo Catch Buins
I IJ,ðC - -
Wub Buin Disbwuhen Conduclors
7 ~ - I~ - -
Waler CION! / j,w. LaundrlUlt&ls Gre... Catch Buins
Sink I // <S:J Water Softene.. Sump Pump" Ejeclo.. / ¡.'ð
Watar Heate.. 1/ j,"óÒ Sanitary Bubblers Bar and Soda Wasles
Shower Batha Urinals Ñ./Z'n p ~ dM - 5' 3.<
/ ;'00 -t/ ~r
Floor Draina Denial Cuspidors
I------ - -
Laundry Tubo Service Sinks
Inspeclio... V~tion of Ihe Work Herein Described Fee Verified. Receipled and Recorded Received Permll and Inspeclion F-
--------....---------------------..-_-mOulside $._------ç;¿Q-~---~-------------------------_.._--------------- -m-----------..-------..--Sewer Fees
---ZZiz¡;/l--Z.....--..----wide $------------m----m---------------------------------------..--..------" ::::fi:~g:~:::~: Fees
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$------....----_----m_---.-----_..--------m--------------------------- Dale ..i. I!/. 71
00
00
In the performance of thi. work the unde..igned owner (or hi. authorired agent) of .aid prem!.e. and his authorized Plumber hereby agree to be bounden by end
submll to all .tatutes, city ordinances, and rule. and reguillion. prescribed by the Board of Public Works for the.government of Plumbers.
II Is futher agreed by Ihe undersigned that no other uses will be made of the above connections exc.ø
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