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PLUMBING PERMIT - Oshkosh, Wisconsin Permil N~ 9528
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I Lol No. I Block Ward I Addüion or Replal
OUTSIDE WORK
Due
NEW SEW" WATER STORMS FEES FEES RElAY S. SEWER WATER STORMS FEES
From Ma!D 10 Curb Seplic Tanks From Main 10 Curb
Fmm Cwrb 10 Building Eleclric Pumps From Curb 10 Building
Repair
INSIDE WORK
110.
NEW
NEW
FEES
REP. I USED
FEES
"O.
REP.
USID
RES I NO.
NEW
REP.
USED
IIaIh Tub
Garbage Diopooals
Ca!cb Buirls
Wub Buln
Dishwashers
Conduclors
Wuer CIoaaI
Laundrama!R
Grease Cuch Buirls
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SiDk
Wuer Softeners
Sump Pump Ik Ejeclors
Wmr Reuers
/
Bar and Soda Wasles
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Sanüary Bubblers
Shower Batha
Urinals
Floor DralDa
Denlel Cuspidors
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Laundry TubII
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SerYice Sinks
Valuelion of Ihe Work Rereln Described
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Fee Verified. Receipled and Recorded
Received Permit and ¡nspecllon Fees
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City T"..u",
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Dale
In tho performance of this work tho undersigned owner (or his authorired agent) of said premises and his authorized Plumber hereby agrae to ba bounden by oed
submit to all statutas, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It Is futhar agreed by tho undersigned that no other uses will ba made of the above connections except as hereinafter listed.
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