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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 579
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I Lot No. I Block I Ward I Addilion or Replat
OUTSIDE WORK
Data
NEW SEwn WATER STORMS FEES FEES RELAY S- SEWER WATER STORMS FEES
From Main 10 Curb / / .J,a> Seplic Tanks From Main 10 Curb
From Curb 10 Building Electric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO. NEW UP. USED flU NO. NEW UP. USED FEES NO. NEW UP. USED FEES
- - -
Bath Tub Garbage Diapooall Calch BulDo
- -
Wub Buin Dishwuhen - Conduclors
- - - -
Water CIONI Laundramats Gre.... Catch BulDo
-
Sink Water Softene.. Sump Pump II< Ejectors
Waler Haata.. Sanitary Bubble.. Bar and Soda Wules
Shower Baths Urinals
noor Drains Denial Cuspido"
-
Laundry Tubs Service Sinks
Inspaclions Valualion of Ihe Work Herein Described Fee Verified. Receipled and Recorded Received Permit and Inspection Fees
.--- ...-- -...----...-- --- --... - ..... ---- -... - -Outside $dZgj~__......_---------------_..._---------_. ....~3'<-.:m..._--___Sewer Fees
.--------...----...----...-------.-......-------_-----Inside ::~~:::::::~: Fees
$-.........--...-...------...----...-...---.----------------...-----...---
._--~~~:::==~~...~; $.---......--......-...------...-----......----...-......-------------. ----"'--"""--"'--"'-ë-,¡;¡ÿ;..;-ú;¡;;--"""---"'-----""" Dale ~~(47
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submit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It Is futher agreed by the undersigned that no other uses will be made of the above connections except as herainafter listed.