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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N<.? 9301
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OUTSIDE WORK
l Addition or Replal
Date
NEW SEwn WAlE' STORMS FEES FEES 'ELAY S. SEWER WAlE. STORMS FEES
From MaIn to Curb Seplic Tanks From Main 10 Curb
F'I'om Curb to BuDding Eleclric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO. NEW UP. USID FEES NO. NEW 'EP. USED FEES "O. NEW "P. USED FEES
- - - -
Bùb Tub Gubage DilpotI81a Caleb Bulm
- -
Wub Buin Dishwuhen Conduclors
!- - - - -
Wat.. C~t Laundrama!s Greue Catch Bulm
I-
Sink Water Sofleners Sump Pump II< Ejeclors
WÙ8r Heaters Seniluy Bubblers Bu end Soda Wules
Shower Batha UriDail ~ 7(6/ A-1e-:;;/O / ,. ~
, -
noor Drallu Denial Cuspidors
Laundry Tubs SerYice Sinks I
ID8P8d1ons Va~.ion of the Work Herein Described Fee Verified. Receipled and Recorded Received Permil and Inspection Fe..
--...............-..................................Oulside $......~~..O.JL..._........._.._............... ............................Sewer Fees
.........................._..............................lnside ..../.::-:.Q..Q.......Plbg. Fees
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In the performance of this work the undersigned owner (or his authorired agent) of said premises and his authorized Plumber hereby agree to be 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 uses will be made of the above connections except as hereineftor listed.
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