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PLUMBING PERMIT - Oshkosh, Wisconsin \/) Perml!L N?, 8717
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Lot No. Block Ward Addi!ion or Replat.
OUTSIDE WORK
Date
NEW SEWEll WATER STORMS 'E'S FEES RElAY S. SEWE. WATER STORMS 'EES
From MaiD 20 Curb Septic Tanks From Main to Curb
From Curb 20 Building Electric Pumps From Curb to BuUding
Repair
INSIDE WORK
NO.
.
NEW
UP.
U'EO ~I NO.
"EW
REP. I USED
FE"
NO.
NEW
REP. I USED
FEES
:!Jath Tub
Garbags DispoøaJo
Catch Basm.
Wub Basin
Dishwashers
Conductors
Water CIOl8t
LaundrilDllWl
Gre..... Catch Basm.
SIDk
Water Softeners
Sump Pump lit Ejectors
Water Heate..
Sanilery Bubblers
Bar end Soda Wastes
Shower Baths
æ;: j/;, /p f-
..¡-- ;<:( ~~IZ -"I É
Urinals
FIeor !)raIDS
LallDdry Tube
De"W Cuspidors
Service Sinks
InçectIons If.uatlon of th, 0 Work Herein Described Fee Verified. Receipted and Recorded Received Permit and Inspection Fees
-----------.--..-.-.---Outside 1'--~ £2, Q.z:, -'-ïiTo--.--..-Sawer Fees
-.-.--------------..-.-Inaide ---- --- _.- --- - --------------_._------, LY<:...L.L---Plhg. Fees
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In the performence of this work the undersigned owner (or his authorized agent) of said premises end his auth.rired Plumber hereby egree to be bounden by and
submit to ell statutes, city ordinence.. and rule. end regulations prescribed ~..-,,-~of Public Works for the gGvernme"t of Plumbers.
It Is futher egreed by the undersigned thet no other uses will be made of the above conneolion. except as hereinefter listed.
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