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PLUMBING PERMIT - Oshkosh, Wisconsin
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OUTSIDE WORK
Permit N~ 9140
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I Addition or Replai
Dafe
Naw SEwn WATER STORMS fEES FEES R"AT S- SEWER WATER STORMS FEES
From MeIn to Cwb Septic Tanks From Main to Curb
,,"m Cwb to BuDding Electric Pumps From Cwb to Building
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INSIDE WORK ¡; ~ /J// I4¿¡f;; (J-f.
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NO- NEW REP- UIEO FlES NO. NEW REP- USEO fEES NO- NEW REP- USEO fEES
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Bath Tub Garbage DIs~ Catch Bulll8
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Wuh Buin Dlshwuhers ~ Conductora
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WafN Cl_t Laundramata Greue Cafch Bu1118
Sink Wafer Softeners Sump Pump II< Ejectors
Water Heafen Sanitary Bubblen Bar and Soda Wastes
ShoWN BafhR Urina1a
Floor DraIDa Dental Cu.pidon
Laundry Tubo Service Sinks
IDRpactlons Valuation of the Work Herein Described Fee Verified. Receipted and Recorded Rece¡v¡t, ~it and Inspection Fees
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In th performance of this work the undersigned owner (or his authorized agent) of said premises and his authori.ed Plumber hereby agrae to ba bounden by and
.ubmit to all statuta., city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It Is futher agreed by the undersigned that no other uses will b. made of the above connections except as hereinafter listed.
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