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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N'? 9562
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~ Name d k.~
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I Block I Ward
[ Lot No.
I Addilion or Replat
Data
OUTSIDE WORK
N&W SEWEI WAfER STORMS lEES FEES RELAY S. SEWER WATER STORMS lEES
From M8ID 10 Cub Septic Tanks Fmm Main 10 Curb
IWm Cub 10 BuDdlnll Eleclric Pumps From Cub 10 Building
Repaiz
INSIDE WORK
NO.
NEW
lEES
RIP.
USED
FlES
NO.
NEW
REP. I USED
lEES
NO.
NEW
REP.
USED
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1
I
Bar and Soda Waslas
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Garbage D~
Catch Basins
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Dishwashers
Wasb Basin
Conduclors
Laundr-
Gre... Calch BasiDa
Waler CI_I
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Wale. Softeners
Sump Pump II< Ejeclors
/
BIDk
Sanitary Bubblers
Waler Haalen
8hower BaIba
UriDals
Floor Dr8Ù18
/
Denial CuspidoR
/,'00
Laundry Tuba
Service Sinks
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va),tion of Ihe Work Herein Described
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Received Permil and IlISpeclion Fees
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Fee Verified. Receipled and Recorded
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City T.......,
In the performance 01 this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby allrae to be bounden by and
submit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works lor the government 01 Plumbers.
It Is luther agreed by the undersigned that no other uses will be made 01 the above connections excep!Aj ÞØ'einalter listed.
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