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PLUMBING PERMIT - Oshkosh, Wisconsin
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OUTSIDE WORK
Permil N~ 981
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I Addition or Replat
Date
Haw SEwn WATER STORMS fEES fEES RElAY S- SEWER WATER STORMS FEES
From MaIn 10 Curb Seplic Tanks From Main 10 Curb
From Curb to BuDding Eleclric Pumps From Curb 10 Building
Repair
INSIDE WORK
110.
HEW
UP-
FlES
HEW
REP. I USED
fEES
HEW
REP. I USED
FEES
"O.
USED
HO.
Bath Tub
f
I
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tXJ
v-v
[I ð-V
Watar Softeners
Sump Pump 8< Ejeclors
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Garbage Dilpooa]a
Catch Basins
Wub BaslD
Dishwashers
Conduclors
I;. <yo'
I
Greue Catch Basins
Water CION!
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I
I
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Sanitary Bubblers
Bar and Soda Wasles
Laundramab
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1<>-6
SIDk
Water Heaters
Shower Baths
UrlDa1s
1-
Floor Dr8ÙIS
I
Denial Cuspidors
,tri'
Laundry Tube
ServIce SIDles
Valualion of Ihe Work HerelD Described Fee Verified. Receipled and Recorded Received Perml! and Inspeclion F-
------------------------¥------~---- -----------Oulaida $ I -'1 {) /) , ,y-r) ----------------------------58wer F-
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(;/IP--I--:"-&.i.--- - -/--/C--------Inside ----------U--,-----------Plbg. Fees
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In the performance of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to be bounden by and
submit to all statutes. city ordinences, and rules and regulations prescribed by the Boord of Public Work. for the government of Plumbers.
It Is futher agreed by the undersigned that no other uses will be made of the above connections C _-:ß hereinalter listed.
I...poctiono
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