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PLUMBING PERMIT - Oshkosh, Wisconsin
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OUTSIDE WORK
Permit N<! 9012
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l Addition or Replat
Date
NOW SEwn WATER STORMS FEES FEES RE'AY S. SEWER WATER STORMS FEES
From MeIn to Curb Septic Tanks From Main to Curb
From Curb to BuUcllnsr Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO. NEW UP. USED FlES NO. NEW REP. USEO FEES NO. NEW REP. USE. FEES
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Batb Tub - Garbage Diapooa!o ~ Catch BolDs
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Wub Boin Diahwohen Conductoro
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Water CI_t Laundr- Gre... Catch BolDs
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SIDIo 8 tU' Water Softenero Sump Pump Be Ejectors
Water Heaters sanUary Bubblero Bar and Soda Wastes
Sho.... BathR Urinals Ice.- (!j1l!'S f 1/ 'jßtl
Floor DreIDs Dental Cuspidors
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Laundry Tuba Service Sinks
Iupectlona J~; Z_t:..~:r.~ ..=:~: i:.::::.:: Fee Verified. Receipted and Recorded Received Permit and Inspecllon Feeo
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In the perlormanca of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to be bounden by and
submit to all statutas. city ordinances. and rules and regulations prescribed by the Boord of Public Works for the government of Plumbers.
It Is futhar agreed by the undersigned that no other uses will be made of the above connections except as hereinaftar listed.
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