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PLUMBING PER - Oshkosh, Wisconsin Permit N~ 1823
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lot_Noo- J Block I AddUion or Replat
OUTSIDE WORK
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NIW SEwn WA"R STORMS FE" fEES RElAY S. SEWER WA"R STORMS flES
From MaIn to Curb Seplic Tanks From Main 10 Curb
From Curb to BuDding Electric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO.
NEW
UP-
USID
....
NO.
NEW
REP. I USED
fEES
NO.
NEW
REP. I USED
fEES
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3
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Batb Tub
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Garbage DilpooaIo
1
1
.f2. ""'-11
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Catch Basins
Wasb Basin
Dilhwashen
Conduclo..
Wat... CIGHt
Laundramala
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Grease Catch BasiDe
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1 f
SIDk
Wafer Softene..
Sump Pump 8c Ejectors
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Wmr HeUe..
Sanitary Bubble..
Bar and Soda Wasles
Shower Baths
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Urinals
F1oor Drains
Denial Cuspido"
Laundry Tubo I I I I I I Service Sinks
Inspections Q Veluation of the Work Herein Described Fee Verified. Receipled and Recorded Received Permit and Inspection Fees
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In the performance of this work Ihe undersigned owner (or his aulhorized agent) of said premises and his authorized Plumber hereby agree 10 be boundan by end
submll 10 all stalutes. city ordinances. and rules and regulalions prescribed by Ihe Board of Public Works for the government of Plumbers,
It Is fulher agreed by
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