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PLUMBING PERMIT - Oshkosh, Wisconsin Permll N~ 482
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OUTSIDE WORK
¡ Addition or Replat
Date
--
NEW SEwn WATER STORMS FEES FEES RELAY S. SEWER WATER STORMS FEES
From MaIn to Curb Seplic Tanks From Main 10 Curb
From Curb 10 BuDding Electric Pumps From Curb 10 BuUcUng
Repair
INSIDE WORK
NO.
NEW
USED
NEW
FEES
NEW
FEES
REP.
USED
HES
NO.
REP. I USED
"0.
REP.
L
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I
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Bath Tub
Garbage Dlaposalaa
Catch Bolns
Wub BoiD
Dishwohen
Conducloro
Grease Catch Bolns
Laundramats
Water Cl_t
Sink
Water Softenero
Sump Pump" Ejecloro
Water Heate..
Sanitary Bubblers
Bar and Soda Wasles
Shower Batha
UriDaia
noor DraiDs
Dental Cuspido..
Laundry Tubo
Service Sinks
Valuation of Ihe Work HereiD Described
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Fee Verified, Receipled and Recorded
Received Permll and Inspection Fees
--------------n---Sewer Fees
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-_n;;¡-'n~...nn_Total
Dale 7 //'~2
Inspecllons
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--------------------FiDal OK
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In the .,.rformance of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to be bounden by and
submit to all statutes, city ordinance., and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It Is futher egreed by the undersigned that no other uses will be mede of the above connections except as hereinafter listed.
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