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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N(.) 8909
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LL_ot:ll'oO, --I Block I Ward I Addüion or Replat
OUTSIDE WORK
Date
NEW SEwn WATER STORMS fEES ms RnAY 5- SEWER WATER STORMS fEES
From Main 10 C\lfD Septic Taaks From Main 10 Curb
From Cm!> 10 BllildInø ;-~/r' /~ 'f: Ó() Electric Pumps From ClUb !o Building
Repair
INSIDE WORK
NO.
NEW I .... I US,. I fEES I~I
. CiW1b Basi...
-
RIP.
NEW
USED
flES
NO.
NEW
IE'. I USE'
fEES
-,-
Ba1b Tub
aarbaga DI8pooaIs
Wuh BaaiD
Disbwuhan
Conductor.
Watø Clooel
!J
areaaa Catch Basina
-,-
¡Ide
LaundrllUlAb
SIBle
Water Softene..
Sump Pump 8< Ejecto..
Water Heate..
Sho...... .Ba1Iuo
Sanituy Bubble..
Urlnale
Bar and Soda Was!""
Floor Dralm
L
Dental Cuspidors
}6C
Laundry TuJ¡s
IDipactioDi ---------Oullide
---------- -__.__1DIIide
------------------
Service Sinks
Val~ion of !he Work Herein »..cribed Fee Verified. Receip!ed "nd Recorded Received Permit and Inspection Fees
$--.£e..riQ-~-.fJ.d------------------------ ------_¿:-'_~-Sewer Fees
------",-~._!L"'-.PIbg, Fees
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In the performance of this work the undersigned owner (or his authorized agent) of said premi.es and his authorired Plumber hereby agre. to be bounden by and
submit to all statutes, city ordinances. and rules and regulations prescribed by the Board of Public Works for the g<>vernmenl of Plumbers.
It is futher agreed by the undersigned that no olher uses will be made of the above ."nnecti"ns except os heroinafler ~
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-- Plum"",
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