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PLUMBING PERMIT - Oshkosh, Wisconsin Permil NI,; 9610
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OUTSIDE WORK
l Addilion or Replat
Date
NOW SEwn WATE. STORMS fEES fEES RElAY S. SEWER WATER STORMS fEES
From MaIn 10 Curb Seplic Tanks From Mein 10 Curb
From Curb 10 Building Eleclrlc Pumps From Curb 10 BuUding
Rapair
INSIDE WORK
NO.
NEW
UP.
filS
NEW
fEES
NEW
USE.
fEES
USED
NO.
"P. I USE.
"o.
R'P.
BaIb Tub
Garbage DÌllpooa]s
Catch Bulns
Wuh Buin
DÌllhwuhers
Conductors
Water CI_1
Laundramù8
Gre... Catch Bulns
e--
Sink
Water Softeners
Sump Pump 8< Ejeclors
WaIoIr Heate..
/
"ao
Sanilary Bubblers
Bar and Soda Wutes
Shower BaIha
Urinals
Floor Drahuo
Dental Cuspidors
Laundry Tube
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- Service Sinks
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Fee Verified, Receipted and Recorded
Received Permil and Inspection Feel
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::_:_:1i~~:::::::; Fees
Date /%óÁd
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City Tro...,"
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In the performance of this work the undersigned owner (or his authorized agent) of said premises and his authorired Plumber hereby agree to be bounden by end
submit 10 ell stetules, city ordinences, and rules end regulations prescribed by the Board of Public Works for the government of Plumbers.
I! Is futher egreed by the undersigned that no other uses will be made of the ebove connections except as hereinaller listed.
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Plumbing In.pocto' ------n
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