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PLUMBING PERMIT - Oshkosh, Wisconsin Permil N~ 1034
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OUTSIDE WORK
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LJ\ddilio_n or Replat
Date
NIW SEwn WAUR sroRMS 'EES FEES RELAY S. SEW'R WArER srORMS FEES
From MaIn 10 Curb Septic Tanks From Main 10 Curb
From Curb 10 BuilcIIDg V ~ ~oV Eleclric Pump¡ From Curb 10 Building
Repair
INSIDE WORK
NO. NEW REP. USED FlES NO. NEW REP. USED 'EES 110. NEW REP. USED FEES
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BaIb Tub Garbage Dlspooala Catch Bash1s
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Wuh Basin Dlshwasbers Conductors
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Water CI_I Laundramall Gre... Catcb BasÌDR
SÚIIII: Water Softeners Sump Pump Be Ejectors
Walar Heaten Sanitary Bubblers Bar and Soda Wasl..
Shower Balba Urinals
noor DrIllDa Denial Cuspidors
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Laundry Tuba Service Sinks
InapaclJona Valuation of Ibe Work Herein Described Fee Verüied, Receipled and Recorded Received Permit and Inspecllon F...
---.-------------------------------------------Oulaide Sc2c?l2-~---------------------------------------------- ___--3~_"'~_------_Sewer F...
----.------------.---------------------------------Inaide ---Ù--~----------Plbg. Fees
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--.-.---------------------FinBl OK $-----------------------------------------.----------------------------- Date/-..2..¿;"~7/
In the performsnce of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to be bounden by and
.ubmit to all statutes, city ordinence., and rules and regulation. prescribed by the Board of Public Works for the government of Plumbers.
It is futher agreed bY"lhe undersigned that no oth..r UMS will be mede of the abov.. conn..ctions ...c..pt as her..inafter listed.
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