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Phull!ler
PLUMBING PERMIT - Oshkosh, Wisconsin Permil N? 11
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I Lot No. --- ----- J Block j Ward I Acidilion or Replal
Dale
OUTSIDE WORK
NEW SEWEll WATER STORMS fEES fEES RELAY S.- SEWER WATER STORMS FEES
From MelD 10 Curb Seplic Tanks From Main 10 Curb
........ Curb 10 BuDding Electric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO. NEW UP. USED FlES NO. NEW REP. USED FEES NO. NEW REP. USED fEES
I/.at) - - -
BaIb Tub ¡ Garbage Diapooa]o Catch Bubla
1I.,:'6(] - -
Wash Buin Diab..uhen Conductors
- - - - -
Wat.. Cl_t 1,1 #(0 LaundramaiR Gre- Catch Bubla
Sink Water 5ofteners Sump Pump 8< Ejeclors
Water Heaten Sanilary Bubbler. Bar and Soda Wule.
Sho.... Baths UrÎD8ll
Floor Drairls Denial Culpidors --
- -
Laundry Tubs Service Sinks
IDipecIio... V~ion of the Work Herein Delcribed Fee Verified, Receipled and Recorded Received Permil and Inspecllon Feeo
--....-----..-----.........---------.-.--.---Oulside $-----~.:1-!c'Q-----_.-------_._---_....._--------.._-- -----.-.-----------.------.50..er F...
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-- .-.1/:1 -L ------------'...------- $--- ------------..-------------------------------..----..-----------. Da1!::£:Ã 7
---------------------Flna1 OK $----------------------------------------------------------------- -----------------------CI.,ÿ;;;;-;;;;-----'----------------
In the performance of this work the undersigned owner (or his authorized agent) of said premises and his authorized Piumber hereby agree to bi" bou¡;'den by and
lubmit to all statutes, city ordinances, end rules and regulations prescribed by the Board of Public Works for the government of Piumbers.
It II futher agreed by the undersigned that no other uses will be mede of the above connections except as hereinafter listed.
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