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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N; 8891
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LLoiNO. I Block I Ward I AddiJ:ion or Replat
OUTSIDE WORK
Dille
NEW SEW" WATER STORMS FEES FEES REL"Y S. SEWER WATER STORMS fEES
From MaIn to Curb Septic Tanks From Main I" Curb
!'10m Curb 10 Building .d' e / '. e, 1,tH) Electric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO. NEW REP. USED .." NO. "'EW R'P, U",. FEES NO, NEW RIP, USED FEES
-
Bath Tub Garbage DiIpooaIs 1- -- Clilch II...!...
Wuh Buln Dishwash- Conductors
Weter CI_I Laundr- Gre- Celch BIISÙuI
Siak Wilier Softeners Sump Pump Be Ejeclors
Wilier Heaters Sanitary Bubblsrs Bar and Soda Wastes
Show... BIIIhs Urùul!s
Floor DraIns Denial Cuspidors
Laundry Tubs Service Sinks
IlIIBPOCiions Valuation of Ihe Work Herein Described Fee Verified. Receipled and Recorded Receivod Permit and Inspection Fees
- -.------- ----..--. -..--.. Ouillde $....c2.~,,-_.::::_-_.__. --..---- --- ---_...-- S' - .Þ-oI
-----"="-------.------Sewer Fees
------------.----__--__Inside :==::::~~~: Fees
$.-------..-..-,-----..--------------------------
~y--- $------....---..----------------..------------ ------'------'------""êJiÿ-T~õ;-~;~;-----------""-----" ---
- - --_.----F1naI OK Dale /.;J._.;lc-7,s
In tho psrformance of this work the undersigned owner (or his authorized agent) ef said premises and his authorized Plumber hereby agree to be bounden by ...d
submit to all statutes. city erdlnances. and rul.. and regulations prescribed by the Board of Public Works fer the gey.roment of Plumbers.
It Is futher egreed by tbe undersigned that no other uses will be made 01 the aboye connections except as hereinafter listed.
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