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PLUMBING PERMIT - Oshkosh, Wisconsin PermJt N? 8214
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I Lot No.
I Block I Ward
OUTSIDE WORK
I AddiJion or Replat
Date
NEW
5EW"
WAtER
STORMS
fEE.
fE.,
RELAY
5. S'WER
WAtER
STORMS
fEES
From MaiD to Curb
Seplic Tanks
From Main 10 Curb
Frmn Comb to BuUcIh>¡¡
Electric Pumps
From Curb 10 Building
Repair
INSIDE WORK
110.
NEW
NO.
NEW
REP. I USED
fEES
NO.
NEW
REP. I USED
flES
-,-
Batb Tub
Garbage Diilpooats
Catch auins
,-,-
Wuh aulD
Dishwashers
Conducto..
,-,-,-
Wate CI...t
Laundramats
Grease Catch II......
81Dk
Water Softeners
Sump Pump 8< Ejectors
Water Heaters
Sanitary BubblGrs
Bar and Soda Wasles
8how.... Baths
Floor Dr'"
Urinals
Dantal Cuspidors
LaWlclzy Tubs
~:"~~:_- -------. ---.--Ontoide
Service SID""
Valuation of the Work Herein Described
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Fee Verified. Receipted and Recorded
Received PermJt and Inspection F-
.~._---_.._----..sewe Fees
-~Q--_PIbg. Fees
----~~.52~...-Total J
Date 9-/') /?~
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_9Zi753.-----:EiJIa1 OK
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In the performance of this work the undersigned owner (or hi. authorized agent) of said premi.e. and hi. authorized Plumher hereby agree to be bounden by and
submit to all statuto.. city ordinances. and rules and regulation. prescribed by the Soard of Public Work. for tho government of Plumber..
It I. futher agreed by the under.lgned that no other use. will be mede of the above <onne~~I~~~_~~-
P'umb.,
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