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PLUMBING PERMIT - Oshkosh, Wisconsin Permit .N'~ 8162
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LoLNO. I Block I Ward I Addllion or Replat
OUTSIDE WORK
Date
NIW SIWER WATER STORMS 'EES "ES .EIAY S. SOWE' WATE. STORMS fEES
From MeIn 10 Curb Septic Tanks From Main to Curb
FJom Curb 10 BuIlcllng Electric Pumps From Curb to Buil<lillg
Repair
INSIDE WORK
NO.
NEW ru;:TUs... I flES I NO.
".S
..o.T
NEW
'EP. I U'E.
FEES
NEW
'EP. I USE.
Batb Tub
Garbago DlspoAls
Catch l3aslw!
Wasb BuiD
/
1;,0-(/
CoMuclo..
Dishwasher.
Water Closet
Lauudramats
(;If.... Catch BariDs
SIDk
1
1/- o-U
Sump Pump 8< Ejectors
Water Softeners
Water H_n
Siu>",..Bath8
sanUary Bubblen
UriDaIs
Bar and Soda Wasles
FloĊ Dram.
Laundry Tubs
Denial Cu.pidon
Service Sinks
IDlpeciloDl
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Valuation of Ihe Work Herein Described
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Fee Verified. Receipted and Recorded
Received Permit aM InspecJion Fees
--------------------------.8ewer Fees
------,.1.~-~--PIbg. Fee.
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Date
In the performance of this work the undersigned owner (or his euthorbed agent) of sdd preml..s and his luthol'Ìred Plumber hereby agree to be bounden by and
submit to all statutes, city ordinances. and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
Jt Is futher agreed by the undersigned tha' no other uses will be mad. of the above connections except os herein.ftor listed.
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