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PLUMBING PERMIT - Oshkosh, Wisconsin Permil N~ 9475
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Dale
I-WNO.
~ I Ward
OUTSIDE WORK
I Addition or Replal
NEW SEWER WATER STORMS FEES fEES RELAY S. SEWER WATER STORMS FEES
From MaIn 10 C1I1'b Seplic Tank. From Main 10 Curb
From C1I1'b to BuDding Eleclric Pumps From Curb 10 Building
Repair
INSIDE WORK
110.
NEW
USED
NEW
REP. I USE.
fEES
fE..
NO.
NEW
REP.
USE'
fEES
NO.
UP.
BaIb TuI>
Garbage DiIpoAlI
Calch Buw
Wuh BulD
Disbwuh....
Conducloro
1/ 11~I/tß
Greue Caleb Buw
WaiN Cl_t
LaundrllDlBltl
f--
Sink
Waler Softenero
Sump Pump &: Ejector.
Waler Healen
Sanitary BuI>blero
Bar and Soda Wule.
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ShowerBatba
UriDa1s
Floor Dr"
Denial Culpidon
Laundry TuI>s
SerY1ce SlDb
Impecl1om Valuation of Ihe Work HerelD De.cribed Fee Verified. Receipled and Recorded Received Perm!! and Inlpeclion Fees
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In the performlnce of this work the undersigned owner (or his luthorired Igent) of slid premises Ind his authorired Plumber hereby Igre~e bounden by end
submit to III statutes, city ordinlncel, and rule. and regulltions prescribed by the Board of Public Works for the government of Plumbers.
II is futher agreed by the undersigned thlt no other uses will be mlde of the above connections except as hereinafter listed.
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