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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 9771
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0 --;-.... Name 111 - - --+
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Dú. 1- Lot No. -I Block ! Ward
OUTSIDE WORK
I Acic:lili_on or Replat
NIW SEWD WATER STORMS fEES FEES RELAY S- SEWER WATER STORMS FEES
From MaIn to Curb Seplic Tanks From Main to Curb
From Curb to BuDding Eleclric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO.
NEW
..,.
USEO
FIlS
NO.
NEW
RE,. I USED
FEES
NO.
NEW
REP.
USID
FEES
Búb Tub
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~
Sump Pump" Ejeclors
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lm
FrJt.
j, '!)r.
¡,(J:>
Garbage Disposa]o
Cúch Basins
Wuh Basin
Dishwashers
Conduclors
Wú.. Cl_t
LaundramúB
Grease Cúch Baslnl
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SIDk
Wúer Softeners
WÚ8r H.úen
Show.. BúIu
7
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Sanitary Bubblers
UriDals
Bar and Soda Wules
Floor DrÚD8
Laundry Tubs
Denial Cuspidors
Service Sinks
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Valualion of Ihe Work Herein Described
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$
.
Dale
Fee Verified. Receipted and Recorded
Received Permit and Inspecllon Fe..
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In the perform.nce of this work tho undersigned owner (or his .uthorized .gent) of .aid premi.e. and hi. .uthorized Plumber hereby .gr.. to b. bound.n by end
submit to .11 .t.tut.., city ordin.nces, and rules and regulation. prescribed by the Board of Public Works for the government of Plumb.rs.
It I. futher .greed by the undersigned th.t no other use. will b. made of the .bove connection. except .. herei
tar Ii.ted.
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