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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N<;? 9153
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i_lootlf.o, I Block I Ward I Addition or Replat
OUTSIDE WORK
Date
.
NOW SEwn WATER STORMS FEES FEES RElAY S. SEWER WATER STORMS FEES
From MaIn to Curb Septic Tanks From Main to Curb
!\rom Curb to BuDding 1#411./ jl,r!.- ~ Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO. NEW RE'. USED FlES NO. NEW REP. USED fEES "O. NEW RE,. USED FEES
- ~ -
_Tub - Garbage DiapoA]a CáIch Bulns
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Wuh BuiD Diahwuhers Conductors
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Wat- CIONt Laundramabl Gre... Catch Bulns
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Sink Water Softeners Sump Pump II< Ejectors
Water Heate.. Sanitary Bubblers Bar and Soda Wastes
Show- Baths UriDaIs
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noor Dr8lDa Denial Cuspidors -
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Laundry Tube Service SiDa
IIIIpec!Jons Valuation 01 the Work HereiD Described Fee VerUied. Receipted and Recorded Received Permit and Inspecllon Fees
..-....-......---.-......-.........-.........Oulside $..d..ø:/:..~..........._._......_................. ......:"¿..:...~....Sewer F...
.......................-......-.....................Inslde .......J.,..~.....PIbg, Fees
=/i?/¿;1;¡:::===:;~-;;; $.......................................................-............... .........d..":C!...Total
$................................................-..................-... ............."'ë.'¡;¡T;~;;~;~;..........".....".".". Date d- /~ 7b
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In the performance of this work the undersigned owner (or his authorized agent) of said premises end his authorized Plumber hereby egree to be bounden by and
submit to ell statutas. city ordinances. and rules and regulations 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 made of the above connections except as hereinalter listed.
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