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PLUMBING PERMIT - Oshkosh, Wisconsin . PermU N(~' 8758
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I Lo.t No. I Block I Ward I Addl,lo" or Rapl¡¡ ;
OUTSIDE WORK
Date
NEW SEWER WATER STORMS ".. FEES RELAY S. SEWE. WATER STORMS FEES
From M8In 10 Cub Saplic Tanks From Main 10 Curb
From C\U'b to Builcl1ng Eleclric Pumps From Curb 10 Buildh>y
Ropail'
INSIDE WORK
NO. NEW REP. USED FlES NO. N'W RE>. us,. .... MO. NEW REP. USED FEES
-
Bath Tub Gerbay.. DiøpœaIJ¡ Cúcb B..!...
Wuh B..m D!shwaahera Conduclo..
- -
Wate CIOHt Launmunais a..... Catch Boalns
SbIk Water Soften..s Sump Pump Ik Ejeclors
Water Heate.. / IJ<>ð Sanitary Bubble.. Ber and Sod.. Wastes
Shower Bathe UriD8ls
Floor »raiDs Dente! Cuspidors
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Laundry Tuba Service Sinko
I...pect1ou Valuation of the Work Herem Described Fee Verified. Receipled and Recorded Received PermU and Iupeclion Fees
--.-----------_____-m-mOul8ic1e $______m______._Li!c;___~-------------_._-_..._-- --~---____Sewer Fees
--------------------------IDside -- - v..-~-Plbg. Fees
---...--------------- $--...-------...---------------------...---------...------ -- ----...L_?-...- Tole!
---...-------------F1Dal OK $-------------...-...----------..--------------------------- -----------------------C'¡;¡¡;;;;¡-Ürõ;------------"--"'--- Dale /1-;20-?'~
In the perlormance of this work the undersigned owner (or hi. authorired agent) of said premis.. and his authorized Plumber ~ereby agree to be bounden by and
submit to all statutes, city ordinances, and rules and regulations pre,"ribed by ¡he Board of Public Works for the governme"t of Plumbers.
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