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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N? 1379»<
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OUTSIDE WORK
I Addilion or Replat
Date
HIW SEwn WATER S'ORMS 'EES 'EES RELAY S. SEWER WATER STORMS fEES
From MaIn 10 C...b Seplic Tanks From Main 10 Curb
From c...b 10 Building ¡/ ,,/ ~ Eleclric Pumps From C...b 10 Building
Repair
INSIDE WORK
NO.
HEW
..,.
USED
HO.
NEW
R". I USE.
fEES
NEW
fEES
R".
USE.
"'0.
FlES
Bath Tub
Garbage Dispooabl
Catch BaslDl
I----
Wuh Basin
Dishwashers
Conduclo..
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Water C_I
Laundramllia
Greue Catch BaslDl
SIDiI:
Water Softene..
Sump Pump Be Ejeclo..
Wilier Heate..
Sanitary Bubble..
Bar and Soda Wasles
Shower BIIihR
Urina1s
Floor »raIDs
Denial Cuspido"
Laundry Tubs
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Senice Sinks
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Received Permit and Inspecllon Fees
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Valuation of Ihe Work Herein Described
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Fee Verified. Receipled and Recorded
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In the performance of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to be boundaR by end
submit to all statutes. city ordina.ca,. and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
undersigned that no other uses will be made of the above connections except as hereinafter listed.
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