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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N? 8254
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L~o. I Block I :ard
OUTSIDE WORK
Date
f Addilion or Replai
NEW SEWEll WAtER STORMS FEES fEES RELAY S. SEWER WATER STORMS fEES
From MaIn to Curb Septic Tanks From Main to Curb .-
From Curb to BuIlcllng Electric Pumps From Curb to Building fL~;;¡: I'/~ f1a()
Repair
INSIDE WORK
, , ,
NO. NEW UP. USED flES NO. "EW REP- USED fEES NO- NEW aEP- USED fEES
-
Bath Tub Garbage DiIpoøa1a C8ich Bullis
Wub BuiD Dilhwuhen Couductors
- - -
W- Closet Laundramllia Greue Catch Basins
Sink Water Softeners Sump Pump &: Ejectors
W- Hellien Saniiary Bubblers Bar and Soda Wutes
Shower B8iha UriDals
Floor Dralna Denial Cuspidors
Laundry Tubs Service SiDks
Inspections valu1:n of the Work HereiD Described Fee Verified. Receipled and Recorded Recei~ Permil aud Inspecllon Fees
----------------------Outside ~(J J 06 '.::?d(J
___~__h_____Sewer Fees
$-------------~.---- --------------- ---------------- -- ~i2-Plbg. Fees
-------------------------Inside
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$----- -- ------- ----- --------------------------- --- ---- ------ --- ---ëï.ïT;";-~;;;------------------ Dale 'f - "-5- 7.s
In the performance of this work the undersigned owner (or hi. authorized agent) of said premises and his authorized Plumber hereby agree to be bounden by end
submit to all statutes. city ordinances. and rules and regulations prescribed by Ibe Boord of Public Works for tbe gov.rnmenl of Plumbers.
I! I. fulher agreed by the undersigned that no other uses will be made of the abovo <onnections exeepi as hereinafler listed.
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