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PLUMBING PERMIT - Oshkosh, Wisconsin Permli Nr:' 8428
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I "BlOCk I Ward I Addition or RepllÙ
OUTSIDE WORK
I Lot No.
Date
Naw SEW" WAY" STORMS FE" FEES RELAY S. SEWE. WATER StORMS 'EES
FIom Main 10 Curb Septic TaDks From Main 10 Curb
FIom Curb to BuIlcilng Electric Pumps From Curb 10 BuUdmg
Repair
INSIDE WORK
NO.
RIP.
Naw
USED
FlES
NO.
NEW
REP. I USED
'EES
NO.
NEW
.EP.
USED
FEES
B81b Tub
Garbage DilpooaIs
Catch Basins
I-
Wub Bubi
Dilbwashen
Conducto..
Wel81' Cl_1
Laundr-
Greue Cach Basins
Sbllc
/
Sump Pump 8< Ejec1ors
"iðO
Water Softene..
Waler Heale..
SaniJary Bubble..
BIU' and Soda Waste.
8how81' Baths
Urinals
Floor Drains
Laundry Tullo
Dental Cuspldo..
Service Sbiks
IJllpections V"1\,lÙlon of the Work Herebi Described Fee Verified. Receipted and Recorded Received Permit and Inspection F-
-------______m..---Ou!lide $ Jfl.2s::... ó ó "i;f-----...._,------_Sawer Fees
~ "~~====" _m_,.,=;- $;
In the psrlormance of this work the undersigned owner (or hi. authorized agent) of .aid premises and his authorized Plumber hereby agree to be boundan by and
submit to all statutes, city ordinances. and rules and reguiat;ons prescribed by the Board of Public Works for the government of Plumbers.
It is futher agreed by the undersigned that no other uses will be mede of the above connections except os hereinafter listed.
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