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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N? 8089
Kame . ..r'1 + ---J-- Street ¡f .
------------------- O:;er --------A-*-J¡/__--7~------.- N~ber ----..2-'f:r1.:.z---.--~~--
Dat.
'--BIOCk- I Ward
f .I'^ddilioD- or Replat
Lot No.
OUTSIDE WORK
NEW SEWER WATER STORMS FEES .... RElAY S. "W'R WATER STORMS FEES
From MaIn to Curb Seplic Tanks From Main 10 Curb
FJom Curb to Building Electric Pumps From Curb 10 Building
Repair
INSIDE WORK
110. NEW REP. USED ..OS NO. NEW "P. USE. "" NO. NEW REP. USE. FEES
Bath Tub Garbago Dilpoeab¡ C&.ich Bum.
L Id() -
Wuh Bum Dishwash.... Ccnduclorl
:-- - - -
Wet. Cloøot . Laumlr_1 Gre..... Catch BalDs
SIBk 1.. J.1 ,/ 7,AÒ Water Softene.. Sump Pump &: Ejecto..
Water Beet... Sanitary Bubble.. Bar and Soda Wasl..
Show. Baths UriwI1ø
nc- Dra1Dø Dental Culpldon
Laundry Tubø Service Sinko
IDlpedloDl Va~lon of ~W';; Herein Described Fee Verifiod. Receipted and Recorded Received Permit and Inøpectlon Feel
-------------------0u1øic1. --------------------Sewer Fees
---------.---------__-----Inøic1e $------"!2.;Zj.---",--------------------------------- _____2_~~--'p1bg. Feel
$--------------------------------------------- --------~---~-Total
------Trfh,jþ£. Final 0; $----------------------------------------- -------------------c,j¡;-'T';jä.~~.;;------------------ Due 1- ;J/ .].S"""
In thOt performance of this work the undersigned owner (or hi. authorized agent) of ..id preml.e. and his authorized Plumber hereby agree to be bounden by and
submit to oil statute.. city ordinances. and rules and regulations prescribed by Ihe Board of Public Work. for the government of Plumbers.
It I. futher agreed by the undersigned thai no other use. will be mode of the above connections except o. hereinafter listed.
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