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PLUMBING PERMIT - Oshkosh, Wisconsin Permil N~ 907
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I Lot No. b I Ward I Addilion or Rel'lal
OUTSIDE WORK
D81e
NEW SEwn WATE' STORMS "ES FEES 'ELAY S. SEWE. WATE' STORMS FEES
From MaIn 10 Curb Seplic Tanks From Main 10 Curb
J' rom Curb to BuDdlng Eleclric Pumps From Curb 10 BuUdlng
Repair
INSIDE WORK
NO.
NEW
UP.
USID
NO.
NEW
'EP. I USED
FEES
NEW
'EP. 1 USED
FEES
1<0.
FlES
-1
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Garbage Dispolalo
Caich Bulm
Bath Tub
Dlshwuhers
Conduclors
Wub Buin
I , c.c>
1.0<';
Greue Calch Buins
Laundramals
Water CIONt
/1
../'
.00
Waler Softenars
Sump Pump 8< Ejeclors
Sbsk
/
Bar and Soda Wules
I 1 ",LJ
Sanilary Bubblers
W81er Heaten
-,
Shower Baths
Urina1s
1-
Floor DraIDa
Laundry Tube
Denial Cuspidon
Service Sinks
IDSpsdlons ValuaUon of Ihe Work Herein Described Fee Verified. Receipled and Recorded Received Permil and Inspecllon Fees
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..--.-..........-..--.-...---..-.................--- $...---.....................................-.........................--.... .---....... .---......---..........................---......... ..":;;'J...9.9.........Tolal
-~{-1-.g!.._......Einal OK . $......------..........-------.--..........---.----...........----..-..- City T'.""" Dale 1:2-/7/77
In the performance of this work the undersigned owner (or his authorired agant) of said premises and his authorized Plumber hereby agree to be bounden by and
submit to ell statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
he undersigned that no other U50S will be mede of the above connections axcept as hereinafter listed.
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