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- PLUMBING PERMIT - Oshkosh, Wisconsin Permii N? 8941
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¡ LoJ Ro. " Block I Ward
OUTSIDE WORK
f Addition or Replat
Date
NEW SEWEa WAUl STORMS FEES FOES aELAY S. SEW" WATE' STORMS FEES
From Main to C\U'b Seplic Tanks From Main ¡o Curb
From C\U'b to Bullcllng Eleclxic Pumps From Curb 10 Building
Repair
INSIDE WORK
NO. NEW UP. US'" NOS NO. NEW REP. USEO FEES NO. NEW REP. USED FlES
~
Batb Tub Garbage DilpooaIs Catch Baal""
Wash Buin Dilhwaahen Conduclors
Water CIOlOt . LaundrlWlBJl Gre.... Catch BulDa
SIuII: j hOl Water Softeners Sump Pump 8< Ejectors
Water Heate... Sanilary Bubble... Bar and SocIa Wastes
Shew.... Baths tJ1'Ù1IIIs
Fl- Dr""'" Dellial Cuspldo...
La....cIry Tubs Service Sinks
IlIIp8Ctions ~23.~:::::~::~ De~::: Fee Verified, Receipled and Recorded Received Permit and Inspection Fees
.. ------------. ---..-Oubic1e ..~....__....-_--Sewer Fees
.-.---..-------.-..-..--Inslde <1tP.-IJ..?L__plbg, Fees
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In ¡h" performance 01 this work the undersigned owner (or hi. authorized agent) 01 .aid premi.e. and hi. authorized Plumber hereby agree to be bounden by end
submit to ell statutes, city ordinances, and rul.. and regulations pr".cribed by the Board of Public Works lor the government 01 Plumbers.
It is luther egreed by the undersigned that ne other use. will be made 01 the ebove .onnectlon. except e. hereinan.r lisled.
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