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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 9232
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I Lot No.l~ I Ward
OUTSIDE WORK
I Addüion or Replat
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NEW SEwn WATER STORMS FEES FEES RELAY S. SEWER WATER STORMS FEES
From MaIn 10 Curb Septic Tanks From Maln to Curb
From Curb 10 Bunding Elect:lc Pumps From Curb to BuUding
Repeir
INSIDE WORK
NO.
NEW
UP.
NO.
NEW
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FEES
NEW
REP.
USED
REP. I USED
FEES
USEO
FlES
Batb Tub
2
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Sanitary Bubblers
Bar and Sode Wastes
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Garbage DÍlpon]s
Catch Basins
Dilbwashan
Conductors
Wash Basin
1/
I/JO
þ/J'O
Grease Catch BasinR
Laundramats
Wat.. CIOl8t
SIDIo:
Water SDften..s
Sump Pump 8< Ejectors
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Water Hoato..
Shower Batba
Urinals
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I LeundryTubs 11-[17°1 I Service Sinks I I I I I I I I
IlUIpectiona Valuation of the Work Herein Described I Fee Verified, Receipted and Recorded I Received Permit and Inspeetion F...
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Denial Cuspidors
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In the performance of this work the undersigned owner (or his authorired agent) of said premises and his authorlred Plumber hereby agrae to be bounden by and
submit to all statutes, city ordinances, and rules and regulations prescribed by Ihe Board of Public Works for Ihe government of Phl~bers.
It Is futher agreed by the undersigned that no other uses will be made of the above connections excepl a~ þereinanor listed. /Î
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