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PLUMBING PERMIT - Oshkosh, Wisconsin Permil N? 9264
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I Lot No. ~ I Ward I Addition or Raplat
OUTSIDE WORK
Date
NEW SEW" WATER STORMS FEES I fEES RELAY S. SEWER WATER STORMS fEES
From MaID to Curb Septic Tanks From Main to Curb
FIom Curb 10 Building l.t.i/( ¡7 J' J . e. ~ Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO.
NEW
UP.
NO.
NEW
fEES
REP. I USED
FEES
"O.
NEW
REP.
USED
USED
NES
Batb Tub
Garbage Diopooa]s
Diobwuhen
Catch Buins
+---
Wuh Buin
Conducto..
Water CI_t
Laundramats
Gre... Catch BuiDs
f--
Sink
Water Softene..
Sump Pump 8c Ejecto..
Water Heate..
Sanitary Bubble..
Bar and Soda Weates
8ho".. Batha
Urinala
~
Floor Drelu
Dental Cuspido..
Laundry Tube
Serrica Sinks
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Valuation of the Work Herein Described
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Fee Verified. Receipted and Recorded
Received Permil and Inspection F...
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............................Sewer F...
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Date
In the performance of this work the undersigned owner (or his authorired agent) of said premises and his authorired Plumber heraby agrae to be boundan by and
submit to all sta.tutes. city ordinances. and rules and regulations prescribed by the a...rd of Public Works for the government of Plumbers.
It Is futher agreed by the undersigned that no other uses will be made of the above connections except as hereinafter listed.
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