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PLUMBING PERMIT - Oshkosh, Wisconsin / r æ,!P"1t N? 8038
~----------- ::!:r ------~---~-------------- :E:r -------~------~
--------/1 Lot No. --I Block I Ward I Addition or Replat
OUTSIDE WORK
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NIW SIWEI WATER STORMS FEES FEES RELAY S. SEWER WATER STORMS FEES
From MIIID 10 Curb Saptic Tanks From Main to Curb
nom Curb 10 Building ..y;:' /" ~ ElectrIc Pumps From Curb 10 Building
Repair
INSIDE WORK
NO. NEW RIP. USED FlES NO. NEW REP. "SE. FEES NO. NEW REP. USED FEES
Bath Tub Garbage Disposals Catch Basins
Wuh Basin Dishwash- Conductors
- - - - -
Watar CI....t Laundramals Gra..... Catch Basins
Sink Water Softeners Sump Pump lit Ejeclors
WUer Heaten Sanitary Bubblers Bar and Soda WasiK
Sho- .Batbs Urinals
Floor DraIDs Dental Cuspidors
LaUDd>y Tubs Service Sinks
IlIIpsctions Valuation of Ihe Work Herein Described Fee Verified, Receipled and Recorded Received Permit and Inspection Fees
-------------------------OuIslde $------~tÍ2o.~--_O_-O------------ ---$<---<P._QSewer Fees
----------------------------Inslde ---_¿ Æ__:?_'plbg. Fees
=---=---?-I7Þf., 'I $------------------------------------------------------- D:~~/~-Ø 5"
-----------------------clíÿ-T';'i~;ë;-------------------
. - :...L--::.L.....F1Dal 0 $---------------------------------------------
In the performance of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree 10 be bounden by and
submit to all statutes, city ordlnancas, and rulas and regulations prescribed by the Baard of Public Works for the governmant of Plumbers.
It Is futher agreed hy the undersigned that no other uses will he made of the above connectlons...txcept as h.reinaft9/' listed.
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