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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~) 8768
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I Lot No. k Ward I Addil,on or Replat
OUTSIDE WORK
Date
NEW SEWD WA'D STORMS fEES FEES REI"Y S- SEWER WAIER StORMS fEES
From MaiD 10 Curb Septic Tanks From Main 10 Curb
From Curb In BuDding Eleciric Pumps From Curb to Building /"
Repair /
11/. MJ
INSIDE WORK
110. NEW UP. USED filS NO. NEW I R'P. USED FEES NO. NEW UP. USED fEES
- -
Batb Tub aarba!!" DiaJ>Oill'!a Catch Baslwi
Wash Bum Dlshwuhers 1- Conduciors
- -
Waiu CI_I LaundrlUlUlbi are.... Catch Bulwi
SIDII: Water Softeners Sump Pump" E¡eciors
Water Heaters Sanitary Bubblers Bar and Soda Wasles
Sho..... Baths UriøaIs
Floor ])raIDs Dental Cuspidors
LatU1dfy Tubs S.rrice Smks
IJllpectioJII Valuation of Ihe Work Herem Described Fee Verified. Recelpled and Recorded Received Permit and InspeclioD Fees
----------------Ouþlde $-----------__--___2_~=----_-------------- --_m--_---_--V------SeWft Fees
-----------------------1IIIId8 ---/.-:U----_PIbg. Fees
-------------- $--------------------------------------------- -----L_------------Tolal
------------------Fiøa1 OK $------------------------------____--_m_--___- ------------------------ëiíŸ-T;;'~;~r.r--------------------- Dale //-c20- 7-.5-
In the performance of this work the undersigned owner (or his authori.ed agent) of said premises and his authorized Plumber hereby agree to be bounden by -
submit to all statutes, city ordinances, and rules and regulations prescribed by the Bcard of Public Works for the government of Plumbers.
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