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PLUMBING PERMIT - Oshkosh, Wisconsin Permil N? 9482
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I Lot No. I Block I Ward I Addition or Replal
OUTSIDE WORK
Dale
NIW SEW" WATER STORMS FEES fEES REIAV S. SEWER WATER STORMS FEES
From MaID 10 Curb Seplic Tanks From Main 10 Curb
FIom Curb 10 BuUcIIng 4:' (f i I '-e, ~ Eleclric Pumps From Curb 10 Building
Repair
.
INSIDE WORK
110.
NEW
NO.
NEW
REP. I USEO
NEW
REP.
USED
'EES
'EES
NO.
UP.
USED
FlES
BaIb Tub
Garbage Disposals
Catch Bulns
I----
Wub Buin
Dilbwuhers
Conduclors
-,-
Waler CI_I
Laundramals
Gre... Calch Bulns
f--
SIJl1o:
Waler Sofleners
Sump Pump II< Ejectors
Waler Healers
Sanitary Bubblers
Bar and Soda Wules
Shower BaIbs
Urina1a
F1oor Dr8IDs
Denial Cuspidors
Launc!zy Tube
~:~.~.:_.__.............._............Oulside
Service SInks
Fee Verified. Receipled and Recorded
Received Permit and Inspecllon Fees
.......;..."::Q......Sewer Fees
....j,._..~....Plbg. F..s
.....4,...~...Tolal
Dale '1 <;:. 7 ç""
Valuation of Ihe Work Herein Described
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$....300..,.......................................................
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C;ty T,....,",
In the performanco of this work the undersigned owner (or his authorized agent) of said premises end his autho,ired Plumber hereby agroe to be boundon by and
submit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It Is futhor agreed by tho undersigned that no other uses will bo mede of the above connections ex,
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