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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 8890
,íJ / ì /1/ Name - D7 ('\ Street - Pú ~ ç¿J!/-
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Date
¡ Lol No.
I Addition or Replat
Block
OUTSIDE WORK
NEW SEWD WAUII STORMS fEES FEES IIEIAY S. SEWEll WATER STORMS fEES
From MaID to Curb Septic Tank. From Main '0 Curb
FJom Curb to BuilcIlDg 4"¿/ I '. e, ~ Eleclrlc Pumps F."m Curb to Building
Repair
INSIDE WORK
NIl. NEW u,- USED .... NO. NEW .'P- USE. .... ~I NEW REP. USED FEES
- -
Bath Tub G81'bage Dlopooalo - Caich Bum.
-
WIIIh BuiD Dloh....h..... Conductors
- - - - -
Waier ClOO8t LauDdzam&ta Gr...... Catch B...w.
SIAk Water Softeners - Sump Pump 8< Ejeclors
Webr Heaters Sanitary Bubble... 1381' and Soda Wastes
Shower Baths Urinals
n""" Dr8IwI Dental Cuspidors
Laundzy Tubs Service Sinks
I~ons Valuation of the Work Herein Described Fee Verified. Receipted and Recorded Received PermiJ and Inspection Fees
------------------- -----' ----- Outside $--é1.$lJ.:--~..-----------------------------.._------- c.l-'--tJ
-------------'-~::,:;r.Se...r Fees
--- --- -----.-----------Inside _--_--Lm-;,_.:;;r_Plbg, Fees
-7~.l-.::: - ~Inal ~; $--------------------------------------------------- ------:i':-----_TOfal
$------------------.------------.--------------..--- -------------------------ë-'¡:¡TÆ-;;;;Ó'--------------------- Date /c2 -dó, 7-'> ~
In tho performence of this work the undersigned owner (or his euthorized egent) of ..id premises end hi. authorized Plumber hereby egree to be bounden by end
submit to all stalutes. city ordinances, and rules end regulalions prescribed by Ihe Board of Public Works for Ihe government of Plumbers.
It Is fulher agreed by the undersigned thel no other uses will be made of the above connections excepl as hereinafter lisled.
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