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PLUMBING PERMIT - Oshkosh, Wisconsin Permi! N? 8418
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I Lot No. I Block I Ward I Addition or Replat.
OUTSIDE WORK
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Date
NEW SOW.. WAT" STORMS fEES FEES RELAY S- SEWER WATER STORMS fEES
IWm MaIft 10 Curb Septic Tank. From Main to Curb
Fl'om Curb 10 Building Electric Pumps From Curb to Building
Repair
INSIDE WORK
MO. NEW u,. USED HES NO. NEW REP. """ FEES ~I NEW REP. USED HES
f- f, Oò f - -
Bath Tub Gubage Dlspoøuls ßC?; Catch Buins
-
Wuh Buiø f 'J;o() Dlsbwubera Conductors
Wat... CI....I t/ 'f- O(¡ LaundrlLIllÙl Greua Catch Buins
Sink i.¡ 'f: 00 Water Softaners Sump Pump II< Ejeclors
Water Heaters 4- If: Ó6 sanUuy Bubblers Bar and Soda Wasles
Show... .Baths Urinals
FlOO<r DraIDa If f; O¡: Dental Cuspidors
LaUllclr¡r Tubs Service Sinks
Iaapec:ilons l:51~_~2:~~;~_:~:::_~:::_:_~ Fee Verified. Receipted and Recorded Received Permi! and Inspeclion Fees
~~--=J~=;~~-~~: -'--:¡¡':1Æ..-_u.sewer Fees
$--..---------.----------------...------------------ Ii-moo --!2._Q.PIbg. Fees
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-----------Einal OX $------------...--______m___--__---- -----...---_u"""----c;iÿ',;;;;,;;ö;------------------' Date:; II') /?~.../
In th.. ""riormance of this work the undersigned owner (or his euthorized agent) of said premises and his authol'Ìzed Plumher hereby agree to he bounden by 8Itd
submit to all stalutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for Ihe government of ,lumbers.
It is futher agreed by the undersigned that no other uoes will be modo of the above connections except as/hereinafter' ed.
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Plumbtng In.""'"