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PLUMBING PERMIT - Oshkosh, Wisconsin
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I Lot Ho. I Block I Ward I Addition or Replat
OUTSIDE WORK
Permit N? 8771
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Date
NIW SEwn WATER STORMS FEES FEES RElAY S. SEWE. WATER STORMS F"S
From Main to Cub Septic Tanks From Main 10 Curb
!\rom Cub 10 BuUdIng Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO. NIW RIP. usm FI" NO. NEW REP. USED ""S NO. NEW REP. USED FEES
Bath Tub Garbage DiIpOsak CUCh B",,1Ds
- -
Wub Bubs Dw""",h.... Conductors
- - - - -
Water CIOH1 Laundramals Grease Catch BulDs
SIDk (~+/jL / I/O( Water Softeners Sump Pump 8< Ejectors
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Waie1' Heate.. Samt;uy Bubblers Bar and Soda Waste.
S¡'"w... IIaIhs Urbsll1a
n- Dralu DeDtal Cuspidors
Laundry Tubs Service Sbsb
IDipections Valuation of the Work Herein Describèd Fee Verified. Receipted and Recorded Received Permit and Inspection Fees
--------------- -----Oubide $--------------_._-_d..Q-Q--~-------------- ----------------------..Be"er Fees
---------..-----.--wlde ----,L~~-_Plbg. Fee.
---------------- $----....--.-----------------------------------...- -----_/.-~--_Tota1
----.....----------Fbsa1 OK $---------------------------------- ----------------------ë-I¡;¡T;~"-';rë;------"-------' Date / (-¿;)O- 7.r
In th.. performance of this work the undersigned owner (or his oulhor..od agent) of said premises and hi. authorized Plumber hereby agree to be bounden by and
submit to all stotules, city ordinances. and rule. and reguiotions prascribed by Ihe Board of Public Warks for the gavel'nmen! af Plumbers.
II Is fulher agreed by the undersigned that no other uses will be made of tho above <onnoollon. excepl as hereinaller lisled.
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