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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N? 9864
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I Lot No. I Block I Ward I. Addition or Replat
OUTSIDE WORK
R-
of
P1waber
Date
NIW SEWEll WATER STORMS FEES FE" RELAY S. SEWER WATE' STORMS FEES
From MaiD to Curb ~tI ,?= Septic Tanks From Main to Curb
Fmm Curb to Building !" I.~ Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO.
"P.
NO.
USEO
FlES
NO.
NEW
REP. I USED
FEES
NEW
Bath Tub
Garbage DiopooaJo
Catch BulDo
r--
Wub Bulu
Dishwuhers
Conductors
Wale Cl_t
Laundramala
Gr.... Catch BulDs
Sink
Water Softeners
Sump Pump 8< Ejectors
Waler Hoators
Sanitary Bubblers
Bar and Soda Wastes
Showe Baths
UrlDa1e
~
Floor DraIDa
Loundry Tubo
Dental Cuspidors
Service Sluka
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Valuation of the Work Herein Described
Fee Verified. Receipted and Recorded
NEW
REP.
USED
FEES
I-
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$
$-
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Received Permit and Inspection F...
......:?_,---<:~..<?...Sewer F....
.2.."gJP--.....--Plbg, F...
...---£.(QÞ.....--_Total
Date f 2:-/.>19/ '7 ¡:;
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In tho psrformsnce of this work tho undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to 60 boundon by and
submit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government 01 Plumbers.
II Is luth.. agreed by the undersigned that no other uses will be made of the above connections except as hereinalter listed.
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