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PLUMBING PERMIT - Oshkosh, Wisconsin Permil N~ 230
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I Lol No.
r Block -I Ward
I Addilion or Repla1
OUTSIDE WORK
NEW SEWn WAtER STORMS fEES fEES RELAY S. SEWER WAtER STORMS fEES
From MaID 10 Curb Seplic Tanks From Main 10 Curb
FJom Curb 10 BuDding Electric Pumps From Curb 10 Building
Rapair
INSIDE WORK
NO.
NEW
UP.
FI..
NEW
FEES
NEW
FI..
REP.
USE.
US"
NO.
REP. I USE.
110.
Ba1b Tub
Garbage Dilpooa]s
Catch Bulnl
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f
Wub Buln
Dilhwuhan
Conduclo"
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V
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/,01>
Greue Ca1ch Bulnl
Laundramaltl
Wa1er Cloaat
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SlDII:
Wa1er Softene..
Sump Pump" Ejeclors
Wa1H Hea1e..
Sanitary Bubblers
Bar and Soda Wastes
Shower Ba1hs
UrlDals
Floor DraIDs
Denial Cuspido..
Laundrr Tubs
Senice Sinks
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Valuation of the Work' Herein Described
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Date
Fee Verified. Receipted and Recorded
Received Perml! and Inspecllon Fees
------------------------Sewer F...
--_~_pe-----plbg. F..s
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In the performance of this work the undersigned owner (or his authorized agent) of said premises and his authorired Plumber hereby agrl. 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 hereinafter listed.
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