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. PLUMBING PERMIT - Oshkosh, Wisconsin Permit Nfl. 8050
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I Lœ No. ~ I Ward
OUTSIDE WORK
I AddiUo_n - or Repl¡¡:
Dale
NIW SEW" WAIIR STORMS FEES FEES RE'A' S. SEWER WATER STORMS FEES
F%om MaIn to Curb Seplic Tanks From Main 10 Curb
FJom Curb to Building Electric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO.
UP.
NIW
USEO
FlES
NO.
NEW
REP. I USEO
FEES
NO.
NEW
REP. I USEO
FEES
,-
Bath Tub
Garbage DiIpoIaIs
Caleb Basins
,-
Wash Basin
W- CI_t
Dishwashers
Conduclors
'-'-
Laundramall
Gre... Catch Basins
f---
SbIk
Water Softe...rs
Sanitary Bubblers
Bar and Soda Wasles
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Sump Pump 8< Ejectors
I
Waler Healers
Showc Baths
~.i...
Urinals
I
Jlj,¡O
Denial Cuspidors
LaUDdry Tubs
Senice Sinks
IlIIpectiOIll Valuation of Ihe Work Herein Described
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- -.-------Final orc $---------------------------------- Date / A ~ A r
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In the performance of this work the undersigned owner (or his authorized egent) of said premrses end hi. authorized Plumber hereby agree to be bounden by end
submit to ell statutes, city ordinances, and rures and reguiations prescribed by the Board of Public Works for the government of Plumbers.
It Is fUp;;;;;¿ther agreed by th:~.rsi==--:a~:_::::~--~=~_=:II--_~:__::~-_::_t:e abOYI,e connections a here¡naf~6Ž- ~
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UJ:! ¿ZLl. Plumb.
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Fee VerifiecL Receipted and Recorded
Received Permi! and IlIIpeclion Fees