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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 9217
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OUTSIDE WORK
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of
PIIl1Di>u
I Addition or Replat
Date
NEW SEWEI WATER STORMS FEES FEES RELAY S. SEWER WATER STORMS fEES
From MaIn to Curb Septic Tanks From Main to Curb
I'Mm Curb 10 Bulldlng Eleclric Pumps From Curb to Building
Repm
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INSIDE WORK
NO.
NEW
REP-
NO.
NEW
REP. I USED I- fEES
NO.
USED
flES
Bath Tub
Carbage DiI~
.U)Õ
Catch Bulns
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Floor DraIDa
LaUDdry Tubs I I I I I
=¡aopectiOrlll I F~corded
s
Wuh BuiD
Dilhwashon
ConducloTl
Crease Catch Bas""
Wilier CI_t
Laundramatl
Sink
Wilier Softeners
Sump Pump &; Ejeclors
Wilier Hellion
Sanitary Bubblers
Bar and Soda Wastes
Shower Batba
Urinals
NEW
I
REP.
fEES
USED
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Received Permit and Inspection Fe..
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City Tre",,"
In the performanca of this work the undersigned owner (or his authorized agent) 01 said premises and his authorized Plumber hereby agrae to ba boundan by and
submit to all stalutes. city ordinances. and rules and regulations prescribed by the Board of Public Works for the government 01 Plumbers.
It Is luther agreed by the undersigned that no other uses will be made of the above connections except as hereinafter listed.
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Plumbing In,podo'
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