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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 8502
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I Lot No.1 B:Ck I Ward
OUTSIDE WORK
I Addition or Replat
Date
NEW SEwn WAtER STORMS FEES "'S RELAY S- 'EW" I WAtER STORMS FEES
From M8ID 10 Curb Septic Tanks From M!lÌn 10 Curb
FJom Curb to BulldIIIø Eleclric Pumps From Curb 10 Building
RepllÌr
INSIDE WORK
NO. NEW UP. USE/> flU NO. NEW R.,. U'E. FEES NO- NEW REP. USED FlES
- - -
Bath Tub Garbage Dilposa]o CaIc:h Basins
- -
Wub Bula Dishwashers Conductors
- - - - -
Water CIOl81 Laundramals Grease Catch Buins
-
BIIIk Water Softeners - Sump Pump lie Ejeclors
-
Water Heate.. I Sanilary Bubblers Ber and Soda Wastes
BhowerBaths Urinals
Floor DralD8 Denial Cuspldo..
Laundfy Tubs Senice Sinks
Inspections Valuation of the Work Herein Described Fee Verified. Receipled and Recorded Received Permit and Ins_lion Fees
--------------- ------OuIslde $--j£~--:_::::_-------------------------- -----------------------Sewer Fees
-------------__---_Inslde ____L_~_'p1hg. Fees
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In Ih.. performance of Ihis work Ihe undersigned owner (or his aulhorired agenl) of soid premises and his aulhorized Plumber hereby agree 10 be bounden by end
submillo all slalules. city ordinances. and rules and rogulalions proscribed by Ihe Board of Public Works for the goyernment of Plumbers.
It Is fulher agreed by Ihe undersigned Ihal no olher uses will be mad. of the above eonneetions excepl as hereinaner listed.
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Plumbt.. 1.._,-,,>. ..t3
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