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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N? 8475
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l_~otuN<>.u I Block I Ward I Addition or Replat
OUTSIDE WORK
Date
NEW SEwn WATER STORMS fEES FEES RELAY S. SEW'R WATER STORMS fEES
From Main io Curb Septic Tanks From Main 10 Curb
no", Curb to BuUcllng Electric Pumps From Curb io Building
Repair
INSIDE WORK
110. NEW RIP. USED "'S NO. NEW R". USE. FEES NO. NEW R'P. USE. FEES
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Bath Tub / I j.,-v Garbage Diapooals Cateh Bu.Ins
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Wuh Bu!n / ¡.r& DWtwashers Conducto..
1- - - - -
Water Cl_i I ¡/-V Laundramaia Grease Catch Bu.Ins
SIDJc Water Softeners Sump Pump 8< Ejectors
Wafer Hoate.. Sanitary Bubbler. Bar and Soda Waste.
Show.. .Bathe Urinals
Floor Dr" Denial Cuspidon
LaunllrJ Tubs Senice Sinks
Jnspecilons Valuation of ihe Work Herein Described Fee Verified. Receipied and Recorded Received Permit and InspecUoD Fees
--.--...-.--.-..-....--.-OUiside $.../..!J/ZtL ...~._...__..- ..--.......-.....- ..--..--..--....Sewer Fees
.....---.......-.._-----Inside ,;3uV
'--"/'--;;:vPlbg. Fees
---.---.--..--.--..-- $-...---.-..-.........-....-..-.....-.....-...-.-..- -_......d:.......-_Tofal
-----.--.---FineI OK $.--..-.-...-..............-...-...-...-..-...-- ....- "'-"'-'-"'ëiiÿ"'Ìr."~r.r"--'-""""'-"'-' Date g. /S-. 7.5-
In the performance of this work the undersigned owner (or his authorized agent) of said premi... and hi. author bed Plumber hereby agree to be bounden by and
submit to an statut... city ordinance.. and rules and regulations pre.cribed by the Board e>f Public Wo,'k. for the government of Plumbers.
It i. futher agreed by the undersigned that no other uses will be made of the above connections except a. hereinafter n.ted.
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