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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N<.? 653
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~ I Ward
OUTSIDE WORK
I Addition or Replat
Date
[ Lot No.
NEW SEwn WATER STORMS FEES FEES RELAV 5, SEWER WATER STORMS FEES
From MaIn to Curb Septic Tanks From Main to Curb
From Curb to BuDding Electric Pumpa From Curb to Building
Repair
INSIDE WORK
NO, NEW RIP, USEO FIlS NO, NEW REP, USED FEES "'0, NEW REP, USED FEES
- - - - -
y Batb Tub -/ ~ Garbage D~ Catch BulDo
-
,..¡ Wub Buin -/ e./.çO Dlsbwuhan Conductors
- - - - -
q Water CIOI8t ¡./ if. dO Y Laundr8ID8Ù -/ 2,(}tJ Greue Catch BulDo
-
y SIDk V 7,æ,¡ Water Softeners / Sump Pump" Ejectors "/- I, C¥:J
y Water Heate.. ,/ :::1,(/(; Sanitary Bubblers Bar and Soda Wutes
Shower Baths Urinals
-
r Floor Dr8lu ¡,/ ::!,¿V Dental Cuspidors - -
- -
Laundry Tub8 Service Sinks
Inspections :a~~~~--=:~::,::::_=: Fee Verified. Receipted and Recorded Received Permit and Inspection Fees
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In the performlnce of this work the undersigned owner (or his luthorized agent) of said premises and his authorized Plumber hereby Igree to be bounden by and
submit to all statutes. city ordinances. and rules and regulations prescribed by the Boord 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 e
p
'ereinaftor listed.
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