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PLUMBING PERMIT - Oshkosh, Wisconsin
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IB!ock I Ward
Permit
I Lot 1'1'0.
N? 597
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-- Addilion or Replat
Street
and
Number
Date
OUTSIDE WORK
NEW SEwn WATER STORMS FEES FEES RELAY S- SEWER WATER STORMS FEES
From MaIn to Curb /.j~ . ~ .eX) Septic Tanks From Main to Curb
From Curb 10 BuDding Electric Pumps From Curb to BuUdhtg
Repair
INSIDE WORK
NO. NEW UP- USED FO" NO. NEW REP. USED FEES NO. NEW REP- USED FEES
~ - -
Bath Tub Garbage DillpooaIs Ca1cb BulDs / /~
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Wub BulD Dillhwuhen Conduclo..
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Wat.. CI_t Laundramaitl Greue Catch BuiDs
-
Sink Water Softene.. Sump Pump it Ejectors
Wu.. Heate.. Sanilary Bubble.. Bar and Soda Wules
Shower Baths UriDale
Floor DraIDa Dental Cuspido..
- ~- ~
Leundoy Tubs Service Sinks
IDlpectiol18 Valualion of the Work HerelD Described Fee Verified, Receipled and Recorded Received Permit and Il18peclion F-
---------------------oo--------------------__-Ou1Bide $------_:c~-~t?_",---"?J:2_--------______oo___- -oo--oooooooooo--oo_-Sewer Fees
------------.---------------------------------------Inaide ---~-Ç2-Q-_PIbg. Fee.
----------.------------------------------------ $--- --__..---oo.--_oo__--.oo--oooo_oo___oooo_.--_____--u__oo_- .--Z_.9__9..._Total
-----------------------.-----EiDal OK $---------_'_-----'__'_'_0000_00--__----0000__00____00_____------- ------------------ ---'-'ëíiÿ-Ÿ;;;;;ú,.;--------______OO______--- Date J"./ d 0/7 7
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In the performance of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to be boùnden by and
submit to all statutes, city ordinances, and rules and regulations prescribed by the B...rd of Public Works for the government of Plumbers.
It is futher agreed by the undersigned that no other uses will be made of the above connections except as herein
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