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PLUMBING PERMIT - Oshkosh, Wisconsin Permil N? 9924
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OUTSIDE WORK
I Addition or Replal
Date
NIW SEwn WAIER STORMS FEES FEES RElAY S. SEWER WATER STORMS FEES
From MaIn to Curb Seplic Tank. From Main 10 Curb
nom Curb to BuUdlDg Eleclric Pumps From Curb 10 BuUding
Repair
INSIDE WORK
NO. NEW REP. USED FlES NO. NEW REP. USED ~ NO. NEW REP. USED FEES
J !9r ~ - -
BaIb Tub Garbage DIs~ 'L Catch BaslDs
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Wasb Basin ~ Dlshwashen ( Conduclors
6/ / - /ý - -
Wat.. Cloeel :ì Laundramala Grease Catch BasiDe
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Sink J Water Softener. Sump Pump Ik Ejectors V ¿
Water Heate.. 1/ I? Sanüary Bubblers Bar and Soda Wasle.
Show.. Baths U rina1s
F1ooz Dralna 1/ P Denial Cuspido.. I-----
P - -
Laundry Tubs / Service Sinks
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Inspections Valualion of Ihe Work Herein Described Fee Verified. Receipled and Recorded Received Perml! and Inspection Fees
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In the performance of this work the undersigned owner (or hi. authorized agent) of said premise. and hi. authorired Plumber hereby agree to be bounden by and
.ubmlt to all statutes. city ordinances. and rules and regulation. prescribed by the Board of Public Works for the governmant of Plumber..
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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