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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N? 87~
/ , Name' '., Street C
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I,Lot No. "¡'BIOCk I. Ward__._,__u- I Addition or Replat
Date
OUTSIDE WORK
NEW SEWEI WATER STORMS ms fEES .ElAY S. SEW" WATER STORMS FEES
From MaiD to Curb Septic Tßnks From Maht 10 Curb
From Curb to BuilcUng Electric Pumps From Curb to J3uUdmg
Repm / ;,;...0
INSIDE WORK
NO. NEW "P. US... flU NO- NEW R'P. USE. FEES NO- NEW "P. US,. "'S
-- - -
Beth Tub Garbag" Dispooalo Cateh Buins
-
Wash Bum Dlshwuhen Conductors
- - - - -
Water CI"""t Laund:famatl Gr..... Catch Buins
SIIIk Water Softeners Sump Pump Ik Ejectors
Water Heaters Sanita:ry Bubblers Bar and Soda Wastes
Shower Bat1uo UrIna1ø
Floor Dralwl Dental Cuspidors
LeW1dry Tubs Service Sinks
IDlpee1ÏOIII Valuation of the Work Herein Described Fee Verified. Receipted and Recorded Received Permit and IDlpeclion Fees
----------------- ----- au Wde $.. --.--------. -.-- --¡';?'_5:_".:~---------- --------- -------¿¡::o----_--.sewer Fees
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In thlt performance of this work the undersigned owner (or his authorized agent) of said premises and Ms authorired Plumber hereby agree to be bounden by and
submit to all statutes, city ordinances. and rules and regulations prescribed by the So.rd of Public Works for the governmenl of Plumbers.
It Is futher agreed by the undersigned that no olher uses will be made ", Ihe eb""o conneclions except .s hereinalter !idee!.
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