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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N<.? 9086
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I Block I Ward
I Lot Ho.
I Addition or Replal
Date
OUTSIDE WORK
NEW SEWER WATEI 5IOIMS FEES FEES IELAY S. SEWER WATER 5IOIMS FEES
From MaIn 10 Curb Septic Tank. From Main 10 Curb
!\rom Curb 10 BuDding Electric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO. NEW "P. USED FEES NO. NEW ~'P, ,-USED - FEES NO. NEW REP. USED FEES
- ~,..- --.. ~ - -
Bath Tub Gubage D~ " ,--" ,' - Catch Basilio
,-, -.--- - -
"f -,
Wuh BaslD Dishwashers -,¡., -----, -Conduclo.. -
- -, - -
Water CIOMt -~ LaundrlLllUl1s \: \-- -:: . Gre.... Catch Basins
.- .:--- : - -' - f--
Sink Water Softene.. -c,.. - _c. Sump Pump" Ejeclors
Water Heate.. Sanitary Bubble.., ,I -f- -,--- ---- --Bar-and Sodá:- Wasle.
--y-" _k- -
b, 7. -
Shower Batha UriDáls -- -- ---- --- :..
--'-'-- II! - - :!:----- -,,-
noor Dr.... Denial Cuspido.. ¡
\ --.--"-".c-" -' - -
Service SIDks " ---
Laundry Tubs ----
I...peclio... Valuation of Ihe Work HerelD Described --~"'F;;" VerUied, Receipled and Recorded Received Permit and Inspection Fees
----------------------------------------____Oulslde s-------------------------------------------------------------------------- ------- ----------------Sewer Fees
---------------.------------------------------------Inside ----------------------------Plbg. F..s
S---------.------------------- -------------------------------------------- ---------------------...----Tolal
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------------------------FiDal OK S---------------------------------------------------------------------- Dale
In the performance of this work tha undarsigned owner (or his euthorired agent) of said premises end his authorired Plumber hereby agree to be bounden by and
submit to all stetutes, city ordinances, end rules and regulations prescribed by the Board 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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