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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 8641
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I Loi No. I Block I Ward I Addilion or Replai
OUTSIDE WORK
Dale
NEW SGWEII WATER STORMS fEES "'S RELAY S. S'WER WATER STORMS fEES
From MaIn to Curb Seplic Taaks From Main 10 Curb
FIo", Curb to DuUdlng I.LJ" ¡? j )"C ~ Elecuic Pumps From Curb to Building
Repair
INSIDE WORK
NO. NEW REP. - USID .." NO. NEW R'P. USED "'S NO. NEW REP. USED 'EES
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Bath Tub Garbago DlaJlOlja]o Catch BasÙUI
-
Wash BuiD Dishw...hers Conduc:tors
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Watft CI_t LauDdr- Gre..... Catch Basins
SIIiIr Water Softeners Sump Pump II< Ejectors
Wmr Healers SBIilluy Bubblsrs Bar and Soda Wastes
IIhowft Baths UriDa1a
Floor Drains Denial Cuspidors
Laundry '1'ubs ServiĊ Sinks
Jnsped1ons Valuation of the Work Herein Described Fee Verified. Receipted and Recorded Received P~ and Jnspecllon Fees
-------------------Oulslc1e $_¿.s-.LL:...__~__----_.._---_......------..- --..J"'__;ï:i;7..Sewer Fees
--------------------Inslde ..-----l..:..:'..------Plbg. Fees
~--Ji~£=_~ 0; $---------.-----------------------------..------- .._--....(;(---~..Total
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$-----..-----------------------...------------------ Date /ò -cßI J 7ó-
In the performanca of this work tha undarsigned owner (or hi. autho.lze" ageOlt) of s.ld premises and his authorized Plumber hereby agree to be bounden by and
submit to all stalutes, city ordinances, and rules and regulations prescribed by the lI..ar" of Public Works for the government of Plumbers.
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