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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 8599
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OUTSIDE WORK
Date
I Addilion or Replai
NEW SEWEll WA'EII STORMS FEES FEES RElAY S- SEWE' WATE' StORMS FEES
FIom MaID to Curb Septic Tanks From Main 10 Curb
FIom Cub to BuUcllng Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO. NEW UP. USED FlEs NO. NEW REP. USED FE" NO- NEW REP. USED FEES
Batb Tub Garbag.. DiapooaJo Catch Buina
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Wuh Bum Dish......h.... Conductors
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Wet... CIOIIIt Laundramata Greue Catch Buins
Sink Weter Softeners Sump Pump II< Ejectors
Watar Heators Soniiary Bubblers Bar and Soda Wasles
Showor Baths UrinBls \A~~þ't:' /dJA ð"b IÆ
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Floor Drains Denial Cuspidors
LaUDclry Tuba Senice Sblks
IlIIpecüolll Valuation of the Work Herein Described Fee Verified. Receipled and Recorded Received Permit and IlIIpection Fees
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In th.. performence of this work the undersigned owner (or his authorired agent) of said premls.s and hi. authorized Plumber hereby agree to be bounden by and
submit 10 all .tatules, city ordinances, and rules and regulations prescribed by Ihe Board of Public Works for the government of Plumbers.
II Is futher egreed by the undersigned thet no other uses will be mad. of Ihe above connections except a. hereinaner ¡¡sted.
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Plumbo,
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