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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 9674
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! Lot No. - - -- I Block I Ward I Addition or Replal
Due
OUTSIDE WORK
NEW SEwn WAT" STORMS FEES FEES .EIAY S- S'W'. WATE. STORMS FE"
From Main to Curb Septic Tanks From Main 10 Curb
Fmn Curb 10 BuDding ¿,L4 f"~' J'cZ- ~ Electric Pumps From Curb 10 Building
Repair
-
INSIDE WORK
110. NEW RE.. USED FE" NO. NEW .... USE. FE" NO. NEW .EP. USE. FEES
- - - -
_Tub Garbage Dispocals Caich Basins
Wub Basin Dishwashen - Conductors
- - - -
Water Clooel LaundramaIJI Gre... Calch Basins
-
Sink Wuer Softenors Sump Pump Ik Ejeclors
Waier Heuers Sanitary Bubblers Bar and Soda Wasles
Shower Bathe Urinaia ~
Floor Draine Denial Cuspidors
I-- - -
Laundry Tub8 Service Sinks
Inspec:llons ValuaUon of Ihe Work Herein Described Fee Verified. Receipled and Recorded Received Permil and IlIIpecUon Fo..
-------------.-------------.----------.----_----Oullide ¿¿~.~ -------~-'_~---_Sewer Fees
$--------------------.------------------------------------------------.---- --------.-.!-.--~-_Plbg. F..s
.--------------.-..-----------.----------------------Inside
=rLi13~==~~-~; $--- ---------------------------.----------------------------.----------.- ----_---~--~_Tolal
$--------.---------------------- --------------------------------------- '-'----CI¡Y-T;;'~;;;;------------------------- Due /1- g - ?ç;,.,
In tho performance of this work the undersigned owner (or his authorired agent) of said premises and his authorized Plumber hereby agroe to be bounden by and
submit to all statutes. city ordinances. and rules and regulations prescribed by Ihe Board of Public Works for the government of Plumbers.
or listed.
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