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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N? 8823
-----~..~---------- ::!:r ----~~---_~___--mm- :;"tr ___m_--J.1L$'.Q_____.._-_P.~-
LLo.t No. I Block I Ward
OUTSIDE WORK
1m AddiUon or Replll.\
Date
NEW SEW" WAtER StORMS FEE. FEES RELAY S- SEweR WAtER StORMS FEES
From MaID to Curb Septic Tanks From Main to Curb
From Curb to Building I '{/J f/f" /1/ fI'/)o Itj; òJ Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO.
NEW I~I~I~L~().J
FEES
NEW
REP-
USED
Fl"
NO.
NEW
REP- I USED
Bath Tub
-,-
G""b!¡g.. Dispooals
ClltchB...¡".
Wuh Buin
,-
Dishwashers
Conductors
Water CI088t
-,-
Laundr-
a.eass Catch Bullis
Sink:
Weier Softeners
Sump Pump 8< Eiectors
Water Heate""
Sanitary Bubblers
B"" and Soda Wastes
Shower BaihII
UriDa1e
F1ooz :Drlllwl
D..ntal Cuspldo""
Leundry Tubs
Service Sinks
IupectIons Valuation of the Work Herein Described Fee Verified. Receipted and Recorded R,ived Permit and Inspection Fees
----------..--..-----..OutIide $ ~ 0 ~ --_!:.5.4a2....._--Sewer Fees
--..-..------......-----wide ---.. ......-k__- ----..------....--..........- _.._l..Qo_--_..-PIbg. Feu
---- $..............----....-......--....--------..-..------ .... '1I:¥:'..(!.Q-~Of4J.
=:;..;z:;¡z?.:J::::J.1naI OK $--..---......---..-----------..--..--------..---..---- ---"---"""""-----CI;:¡Ÿr;;.~;;;.._m-----_.._------ DateY#/cl/Il..I) .r-
In tho performance of this work the undersigned owner (or his authorlzad agent) of said premis.s and his authorized Plumber hereby agree to be bounden by and
submit to all statutes, city ordinances, and rules and regulations prescribed b~ Iho Bosrd of Public Works for the gov.rnm.~t of Plumbers.
It Is futhe. agreed by the undersigned that no other use. will b. made of the above conn.oIlon. except as hereinaftar listed.
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