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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N':' 8952
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l~~LlfO' I B:Ck I Ward LJ>.ddl¡;On or Replat-
OUTSIDE WORK
NEW SEWER WATER SroRMS fEES fE'S ."AY S. "WER I WATER STORMS fEES
From MaIn to Curb .;11 ('~ Septic Tanks Fr<>"'- Main i" Curb
horn Curb to Building ,;f" (' 1/ ~ Electric Pumps Fro", Curb to Building
Repair
INSIDE WORK
NO. NEW UP. USED flES NO. NEW .'P. USE. FE" NO. NEW .'P. USE. fEES
-
Batb Tub Garbage DiøpoAls Calch Basins
Wash Buin Dishw...berø Conductoll
- - - - - -
Waler Cl_t Laund:<amI!tB Grease Caich Bullis
8II1II: Waler Softeners Sump Pump 8< Ej.ctors
Water Healen / /..-d Sanitary Bubblers Bar and Sod.. Wule. I /r-o
Shower .BUbs UriDsIe
Floor Dr'" Denial Cuspidors
LaUllÜy Tubs Serriee Sinks
iDs~ Valualion of Ihe Work Herein De.cribed Fee Verified. Receipted and Recorded Received Permll and InspeclioD Fees
----- __'.LL :2.5:":----OuIside $ --rd-'J- 0..0...:- --~----- --------------------- ------------------Sewer Fees
__fW--¡:::;_____-Inside ___md~.:'.~Plbg. Fees
-. ::r; ^ -------- $-.----.---.----------------------.---------- -3 P---c.!
-----------------m ëíiÿ-T;;...~;ë; ------------ -m______---,-----Total
- ? 7~----1'iDsI OK $-..----..------------------------------------------- Daie 1- /¿Z . 7 Go
In the performance of this work the undersigned owner (or hi, authorized agent) of said premi..s and his authorized Plumber hereby agree to be bounden by end
submit to en statutes, city ordinances, and rules and ",guiations prescribed by Ihe Board of Public Works for Ihe government or Piun,bers.
It Is futher agreed by the undersigned that no other usas will be mad. of the above collnections excepl as hereinafler lisled.
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