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. ...'.... '..' PLUMB~NG PERMIT - Oshkosh.. Wisconsin Permit N':' 8097
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LL_otIfOO- I Block I Ward '1J\.<idJlio_n_orRePlat
Date
OUTSIDE WORK
NEW SEWEa WATER STORMS fEES FEES RELAY S. SEWER WATER STORMS FEES
From MaiD 10 Curb Seplic Tanks From Main '0 Curb
!'%om Curb to Building Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO. NEW UP. USED fRES NO. NEW REP. VSE. ,,"5 NO. NEW REP. US.. "E'
- - -
Beth Tub Gsrbaga DiIpocaIs Caich Basi...
Wash Bum Dishwashers Conductors
Water Cl_1 Launclramatl Gre.... Catch BUÌDI
S1aIc Water Softeners Sump Pump 8< Ejectors
/ r;.~O -
Water H_n Sanitazy Bubblers Bar and Soda Wastes
Shower Baths Urinals
FlOM Drains Dental Cuspidors
Laundry Tube Service SiDks
Il!IP8CiIons vation of the Work HereiD Described Fee Verified. Receipted and Recorded Received Permit and Inspeclion Fees
--..---..--.--.--....Outside $ .......'1.1 f1~ ...f£. ~........._._.._._-_.... ..-..--- ~.._~......_....Sewer Fees
'\ ..-..----...-.-------..-.---Inside ... .<:o..Q_...__.Plbgo Fees
--.-.------..-------- $....-----...-......--..----....-.. -.-.'--.--'- Dater¿1/i';Ä:J
-----------FiDaI OK $.--.-......---....-..--..-......--..---..--- ""-"""'-"'-"""ëÚÿ'ÿrëä.ü;ë;-""""--""-""
In the performance of this work the undersigned owner (or his authorized agent) of s.id premises and his authorized Plumber hereby agree to be bounden by and
subn,it to all statutes, city ordinances, and rules and reguiations prescribed by the Board of Public Works for the government of Plumbers.
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