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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 9991
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OUTSIDE WORK
Due
I Addition or Replat
Naw SEwn WATER STORMS lEES lEES RELAY S. SEWER WATER STORMS lEES
From MaIn to Curb Septic Tanks From Main to Curb
~m Curb to BuDding 44 t1d-' ¡hie ~ Electric Pumps From Curb to Building
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Repair
INSIDE WORK
NO.
NEW
REP.
flES
NO.
NEW
REP. I USED
lEES
NO.
NEW
REP.
USED
lEES
USED
Bath Tub
Garbage Dispcoala
Catch Bulna
i---
Wuh Buin
Dishwuhers
Conducto,"
1--<-'-
Water CIOl8t
LawulramIÙR
Gre... Catch Bulna
I--
SIDk
Water Softene..
Sump Pump 8< Ejecto,"
f---'-
Water Heuers
Sanitary Bubblers
Bar and Soda Wastes
Shower BUhe
UriDals
Floor Dralu
Dental Cuspidors
Laundry Tubs
Iupactions
--.............--.........----.................---Oulside
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Se...i.. Sinks
Valuation of the Work Herein Described
Fee Verified, Receipted and Recorded
Received Permit and Inspecllon Fe..
---..J.,..~....Sewer Fees
..::::~:~::~:; Fee.
Date .it.... ,;2':;' 7 7
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In the performance of this work the undersigned owner (or his authorized agent) of said premises and his author ired 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 ebove connections except as hereinafter listed.
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