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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N? 8654
Hame . /' Hame ~ n / /) Slreet ~ ~ j)
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Date -\ Let Ho. ~ I Ward I Addition or Replai
OUTSIDE WORK
NEW SEWER WAIER SYORMS FE" FEES RElAV S. SEWER WArER SYORMS FEES
From MaiD to Curb Septic Tanks From Main 10 Curb
bom C...b to Building -<-1"/1/ I" (7. ~ Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO. NEW REP. USED flES NO. NEW R'~. USED ~I"o, NEW REP. USED FEES
- - -
1Iatb Tub Garbage Dispooals CaJch BiSSÙIS
-
Wub Buln Disbwashers - Conductors
- -
Wat... CIONI LaulUhamats Grease Catch Basins
SbIII: Water Softeners - Sump Pump lit Ejectors
Water Heate.. Sanitary Bubblers Bar and Soda Wastes
Sho..... Baths UriDals
Floor Dr8IDs Denial Cuspidors
LeUDdry Tubs Service Sinks
IuIpectIons Valuation of Ihe Work Herein Described Fee Verified. Receipted and Recorded Received Permit and Inspection Fees
--------------- ----. ____Outside $ ._-~.,d.Q-,-~- ...----------------...------ ___s._L~__-Sewer Fees
---.--------..----.__----lDIicle ______L.!2!__J>Jbg. Fee.
---ï1~:7"---- $---.--.-------.-----------.....------...------- ..._---_.d.,-~-- Tolal
..._).'-s--EinaI OK $------------......------..----------------------- -----"'-----------'--CIΟ-Ÿ;;-';;;.;------------------ Dale II-.Y- 7..s~
In the performance of this work tho underslgnad owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to be bounden by and
submit to all slatutes, city ordinances, and rules and regulations prescribed by Ihe 800rd of Public Works for the government of Plumbers.
It is futher agreed by the undersigned that no other use. will ba mode of Ihe above <onneei;ons except e. hereinafter Ii.ted.
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Plumbl.g 1.--<...p-5.
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