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PLUMBING PERMIT - Oshkosh, Wisconsin Pe~mit N'~' 8436
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1- Lot No. ~OCk I Ward I Addition or Replat
OUTSIDE WORK
Dale
NEW SEW" WATER STORMS FE'S "'S REI&Y S- SEW'. WATE' STORMS FEES
From Mom 10 C...b Septic Tanks From Main 10 Curb
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FNm C...b 10 Builc1Ing ~ ¡!.,;¡¿ Elect';. Pumps From C...b 10 Building
Repl1ir
INSIDE WORK
NO.
NEW
lIP. I USED
FEES
NO.
NEW
REP. I USEa
FE'S
NO.
NEW
REP. I uno
FlES
Bath Tub
Wuh BulD
GarbRge D~
Calch Bulris
-'-I--
I--
Dishwashen
Conductors
Waler CI_I
LaulUharnals
G~- Catch B",,1ris
SiDIo:
Wale~ Softene~s
Sump Pump 8< Ejectors
WaI8~ Healers
Sanitary Bubblers
Bar and Soda Wasle.
Show... Baths
Urinale
Fl- Drlllns
Denial Cuspidors
LaWlclry Tubs
Service SIDks
IlIIpedIons Valuation of Ihe Wo~k HerelD Described Fee Verified. Recelpled and Reoo~ded Rec!J'Yed Permit and Inspection Fees
-----------.-----.---...Oulside $+1£:1""0 . "f... .~1J:,_QO_-Sewe~ Fees
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.-.-..--------------.--InsIcle .'::ir~_._----_Plbg. Fees
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In the performance of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to be bounden by and
submit to all statutes, city ordinances. and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
I! 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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