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PLUMBING PERMIT - Oshkoshl Wisconsin Permit N? 8288
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I Lot Ho. I Block I Ward -I Add!!lon or Replat
OUTSIDE WORK
Date
NEW SEWn WATER STORMS FEES FEES RElAY S- SEWER WATER STORMS FEES
From Main to Curb Septic Tanks From Main to Curb
From Curb 10 BuUdlnø Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO. NEW UP- USED FlES NO. NEW REP- USED .... NO. NEW REP. USED fEES
Bath Tub Garbage Diopcoals Catch Basins
-
Wuh BUÙI ~ b-""'" Dlobwuh.... Conductors
- -
Water Closet .3 I ~--V Laundramais Gre..... Catch Baslns
SIBle Water Softeners Sump Pump 8< Ejectors
Water Heaters Sanitary Bubblers Bar and Soda Wastes
Sho- Baths Urinals / 1/ 0--(/
Fl""" ~aIna Denial Cuspidors -
Laundry Tubs Serri<:e Sinks I ¡.<rl-
IDlpøc:I!oDl Valuation of the Work Herein Described Fee Verified. Receipted and Recorded Received Permit and Inspection Fees
-------------------Oulsicle <>-V -------------".--".-Sewer Fees
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In the poriormance of this work the undersigned owner (or his euthorized agent) 01 said premise. and his authorized Plumber hereby agree to be bounden by and
submit to all statutes. city ordinances. and rules and regulations I'rescribed by the Board of Public Works for the government 01 Plumbers.
It Is futher agreed by the undersigned that no other usos will be made 01 the above conn~~~i~~~__~~~::t.,~_~ß~~I~~~_lIst:._----------_...._--".-..".-....---..--.."...........--..------
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