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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N? 9031
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OUTSIDE WORK
I Addition or Replat
Date
NEW SEwn WATER STORMS fEES FEES RELAY 5- $EWER WATER STORMS fEES
From MaIn to Curb Seplic Tanks From Main to Curb
From Curb 10 BuDding Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO. NEW "P. USED FlES NO. NEW REP. USED fEES NO. NEW REP- USED fEES
Bùb Tub Garbage DiapooeJs 1- Cùcb Bulna
Wub Buin Diabwuhen 1- Conductors
- -
WatN Cl_t Laundr- Grease Catcb Bulns
-
SIDk Water Softeners Sump Pump Ik Ejectors
Waier Heaters / l/~ Sanitary Bubhler. Bar and Soda Waste.
ShoWN Baths Urinals
Floor DrÙIIS Dental Cuspidors
Laundry Tubs Service Sinks
IJlSpedions Valuation of Ihe Work Herein Described Fee Verified. Receipled and Recorded Received Permit and Inspection Fees
---------------------------------------_----__Ouiside $--------~_9..~----,,----'ê'---~------------------- ----------------------------Sewer F...
---------------------------------------_.---------------Inside _¿..--O:--':'..---Plbg. F..s
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In tho performance of Ihi. work the under.igned owner (or his authorized agent) of said premi.es and his authorized Plumber hereby agraa to be boundan by ond
submit to all statuto., city ordinance., and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
I! Is futhar agreed by the undersigned that no other uw. will ba made of the above connection. except .. hereinafter listed.
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