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PLUMBING PERMIT - Oshkosh, Wisconsin PermU N? 9142
9--~-¿~~ ::!:r -~_c:n~-------------------------- :~J:r ----/--/~'£--_72/L3/~~-S/--
I L<>I Jlo. - - - -- -- - I Block I Ward I Addilion or Replat
Date
OUTSIDE WORK
NIW Slwn WATER STORMS fEES FEES RELAr S. SEWER WATER STORMS fEES
From MaIn 10 Curb Seplic Tanks From Main 10 Curb
From Curb 10 BuDding ILI"/I" J ~e ~ Eleclric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO. NEW REP. USIO fEES NO. NEW REP. USED fEES "0. NEW REP. USED FEES
- - - -
Bath Tub - Garbage Dispooals Catch Basins
Wuh Basin Dish"ashen - Conduclors
- - - - -
Water CI_I Laundr- Grease Catch Basins
-
Sink Water Softeners - Sump Pump II< Ejeclors
Wùer Heaten sanUary Bubblen Bar and Soda Wasles
Shower Bùbs UriDals
Floor DraiDs Denial Cuspidors
Leunclry Tubs ServIce Sinks
IDSPOCilons Valuation of ~ Work Herein Described Fee Verified. Receipled and Recorded Received PermU and Inspeclion F-
---------------------------------------------Ouilide $..J,d-()-,------------------------------------------------------ -------J!--~--__Se"er F...
---------------------.----.------------.-.----_-----Inside _...__.l:_-~-----Plbg. Foos
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$---------.-------------------------------------.-.-----------.------------ Date ,¡;L 7- 7þ
In the performance of this work the undersigned owner (or hi. authorized agent) of .aid premi.e. and hi. authorized Plumber hereby agree to be bounden by ond
submit to all statutes. city ordinances. and rules and regulation. pre.cribed by the Board of Public Works for the government of Plumbers.
It Is futher agreed by the undersigned that no other use. will be made of the above connections except a. hereindter lI.ted.
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