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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 8478
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Daie I Lot No. I Block I Ward I Addilion or Replat
OUTSIDE WORK
NIW SEWEI WATn STORMS fEES ...S aELAY S. SEWER WATE' STORMS fEES
From MaiD to Curb Septic Tanks From Main t<> Curb £, 11('11: ¡ ¿9-C!
FJ:om Curb to Building Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO. NIW uP. USED flES NO. NEW IEP. U'ED fEES NO. NEW IEP. USED fEES
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Bath Tub Garbage D1spoøa)s Catch Bulns
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Wuh Buin Dishwashers Conducto...
Wllter C¡OHt Laundr- Gre... Clltch Basins
SIDk Wllter Softeners Sump Pump III: Ejectors
Water Hellters Sanitary Bubblers Bar and Soda Wutes
8how.. Batha Urinals
Floor DraIDs Dental Cuspidors
Launc!ry Tubo Serneo Sinks
IDipedions Valuation of the Work Herein Described Fee Verified. Receipted and Recorded Received Permit and Inspection Fees
--------- -----,---, -----Ouiside $----./._C!._{L:__:~~-------_._-_..._-,._-- .._._.i~--~-....sewer Fees
-----------.---------Inside :==:;~~~~: Fees
--(ì?-l:*-tyi(""' ~1Da1 0; $-------------------,---.---..--..-.---.-..------
$----.--------- _. ...,- .-.-----.'-. .--..------ ---'.............-..---Cliÿ-ir.-;;Urõ;-..-..'---'--.-'-- <;5, /S--. 7...5 ..-'
Date
In the performsnce of this work the undersigned owner (or his authorized agent) of said preml..s and hi. authorized Plumber hereby agree to be bounden by and
submit to all statutes, city ordinances, and rul.. and regulations prescribed by the Bo."rd of Public Works for the government of Plumbers.
It is futher agreed by the undersigned that no other uses will b. made of the above <el1nections except as hereinafter lisled.
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Plumbl.g '.'_<-1'. ß
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