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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N<; 9409
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OUTSIDE WORK
I Addition or Replat
Duo
NEW SEWEI WATE. STORMS FEES FEES .ElAY S. SEWE' WATE' STORMS 'EES
From MolD to Curb Seplic Tanks From Main 10 Curb
From Curb to BoUding Eleclric Pumpa From Curb 10 BuUdlng
Repair
INSIDE WORK
NO.
NEW
UP-
NO.
NEW
"O.
fE..
NEW
"P.
USED
'EP. I USED
FEES
U'ED
fE..
Baib Tub
Garbage Dilponk
Catch Bulns
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Wuh BulD
,.)..
Dilhwuhan
Conduclors
Waiar Cl_t
LaundrlUlUÛll
Gre... Cuch Bulns
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Sink
I
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WIlier Softeners
Sump Pump Be Ejectors
Waior Houers
Sanitary Bubblers
Bar and Soda Wasles
alaiha
»raIDs
Urinals
/
!P'O
Denial Cuspidors
Laundry Tubs
IJ>SP8CÜOns
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Service SlDb
Fee Verified, Receipled and Recorded
Received Permil and Inspection Fe..
rfY?Z~___.Sewer Fees
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Dale ;-/$;- J¿
Valuation of Ihe Work Herein Described
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In tho performance of this work the undersigned owner (or hi. authorized agent) of .aid pramlses and his authorized Plumber hereby agr.. to bo bounden by end
submit to ell .tatutes, city ordinences, end rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It Is futhor agreed by the undersigned that no other uses will be made of the above connections except
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