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PLUMBING PERMIT - Oshkosh, Wisconsin
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OUTSIDE WORK
Street Permit N~ 9207
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I Addition or Replat
Date
NEW SEwn WATER STORMS fEES FEES RELAY S. SEWER WATER STORMS fEES
From MaIn 10 Cmb Sepllc Tanks From Main 10 Curb
FJom Cmb to BuDding Eleclric Pumps From Cmb 10 Building
Repair
INSIDE WORK
110. NEW UP. USEO HES NO. NEW REP. USED FEES NO. NEW REf. USED fEES
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Búb Tub 1- Garbage DlspoaaIs Cúch Basins
Wuh Basin Dishwashers Conduclors
- - - - -
WatN CI_t Laundumats Gre... Catch Basins
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Sink Water Softeners Sump Pump II< Ejectors
WÚH Heaters 7 WJ~()¡ Sanitary Bubblers Bar and Soda Wasles
ShoWN Baths UriDIIIs -
FlOM DraIDs Denial Cuspidors
Laundry Tuba Sen'ice Sinks
Inspact!ons ~uallon of Ihe Work Herein Described Fee Verified, Receipted and Recorded Received Permit and Inspecllon Fe..
-----------------------------------------Outslde - ----------------Sawer Fees
-----------------------------------Inside :--~-:ï~~::~::~:::~~:::::::~:::::~::~::~::::::::::::::~ -----/'-@--------PIbg. Fees
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In the performance of this work the undersigned owner (or hi, authorized agent) of said premises and his authorized Plumber hereby agree to ba bounden by and
submit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It Is futher agreed by the undersigned that no other use, will be made of the above connections exc...,t
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