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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N':' 8209
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LoLNO' .. I Block I Ward .
OUTSIDE WORK
N-
of
Plumber
Date
I-Addmon or Re¡>lat
Naw SEWD WAlE. STORMS fEE. ms .'LAY S- ..w.. WATE. STORMS ,,'s
From Main to Curb Septic Tanks From Moin to Curb
FIom Curb to BuDding Electric Pumpo From Curb to Building
Repair
1
)
)
INSIDE WORK
Bath Tub
NEW IREP- I usm I FlES I NO.
GarbageDiøpoRaJs
Catch Basins
NO.
Wuh Buill
Wat... CI_t
SIDle
Water H_n
8110w... 1Iatba
Floor Drabul
.;¿
LallDdry Tullo
¡DRpecII~rA - L ,../
~;2~__-. . ---.---.-OutIicle
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N'W
..p. I u...
F...
NO.
NEW
..p. I US'D
"'S
1,<>-()
.:¿ =f-1~;( - V(}
d-. -' 0-()
;J ,<tV
f--
Diohwuhen
Conductors
-,-
LaundramatE
Grease Catch BuiDa
Water Softeners
Sump Pump Ik Ejectors
/
1/ thY
Sanitary Bubblers
UriDals
Bar and Soda Wastes
Ijv--z;
Dental Cuspidors
Service Sillks
Valuation of tbe Work Hereill Described
$m~.3 £ Q~~--------------------
$------------------------------------------
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Fee Verified. Receipted and Recorded
Received Permit and ¡DRpaction Feea
--------------..------Sewer Fees
--__ddc~-PIbg, Feea
_.._.d..d"~_Tolal
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Date
In ¡b" performance of Ibis work Ibe undersigned owner (or his authorired agenl) of s.id premises and his author ired Plumber hereby agree 10 be bounden by and
submit 10 al/ slalules. city ordinance.. and rules and regulations prescribed by Ihe Board of Public Works for Ihe government 01 Plumbers.
II Is futher agreed by the undersigned that no other uses will be made of the above <.nnections except .. hereinafter listed.
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