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PLUMBING PERMIT - Oshkosh, Wisconsin Permit Nf; 8573
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I Lot Ho. I Block I Ward
OUTSIDE WORK
¡ 1'.ddition or Replat
Dat.
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NEW SEWER WATER STORMS fEES fEES RELAY S. SEWE. WATER STORMS fEES
From MaID to Curb Septic Tanks From Main 10 Curb
be... Cub to Building Electric Pumps F..,m Curb 10 Building
Repair
INSIDE WORK
NO.
I NEW I RIP. I USED I flES I NO.
NEW
REP. I USED
FEES
NO.
NEW
REP. I USED
FEES
Wuh Bum
Wate Cl_1
7
7
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Bath Tub
Garbage DispoeaIs
CI>teh B..ins
Dishwuhen
Conductors
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Lauwlramats
Gre... Cuch BuiDs
SIIIk
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Water Softeners
Sump Pump II< Ejectors
Water Hw.rs
Sanitary Bubblers
UrinBIs
BIU' and Soda Wastes
Show.. Baths
Floor DreIu
Denial Cuspidors
Lo""Œr Tubs
S..rvice Sinks
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lupeeHons V~iOD of Ihe Work Herein Describ&d Fee Verified. Receipled and Recorded Received Permit and IupectioD Fees
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In th.. performsnce of this work the undersigned owner (or hi. authorized agent) of .aid preml.e. and hi. authorized Plumber hereby agree to be bounden by and
submit to all statutes. city ordinance.. and rule. and regulation. prescribed by th. Board of Public Work. for th. gov.rnment of Plumbers.
It Is futher agreed by the undersigned that no othltr use. will bit made of the above <onnectlons e"cept a. hereinofter Ii.led.
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