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PLUMBING PERMIT - Oshkosh, Wisconsin Permit Nr:.' 8936
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OUTSIDE WORK
1_- AddiJion or Replat
Date
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NEW SEWER WAIER STORMS IE.. lEES RELAY S. $EWER WATER STORMS lEES
From MaIn to Curb 11 Ilo.À'" 'J 111 frJ/ -,>'.. Seplic Tanks From Main to Curb -
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From Curb $0 Building Eleclric Pump;¡ From Curb to Buill!;"!!
Repair
INSIDE WORK
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NO. NEW UP. USED RES NO. NE., REP. USED ".. ~J NEW REP. USED fEES
DatI> Tub C;¡arb8!le DilpoEalo Catch Basins
Wash Bum J... i2.,6\. Dilbwu"..... Conductors
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W- Clooot .3 Launc!riUllatl Gre..... Catch Bulml
SIDk 3 J-o Watar Softeners Sump Pump &: Ejectors / 1/:
Water Heate... 1:2 ;:(,'(JI Sanituy Bubblers ~ ]ZlD Bar and Soda Wastes
Show.. Baths UriDale / I/AÕ(
Floor Drains .J 1JtJú Dents! Cuspidors
La_dry Tubs ~ Service Siub
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îi!d~~__~de Valuation of the Work Hereiu Described Fee Verified. Receipted and Recorded Rec2ed Permit and Inspeclion Fees
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In the performance of thIs work the undersigned owner (or hi. authorired agent) of ..id premi.e. and hi. author;led Plumber hereby agree to be bounden by and
submit to all statutes, city ordinances. and rules and regulations pre.cribed by Ihe BMrd of Public Work. {-or the government of Plumbers.
It i. futher agreed by the undersigned that no olher uses will be mad. of tho "bove connections except a. hereinafter Ii.led.
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