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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 9713
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~~ Name ~~
' of
--------- - - - - - ---- -- -- -- ..--,' ---~-U Owner nn----:--- n n------__-'-- - - _n_-:-_- -- ----____------nn__-
b 1 Ward
OUTSIDE WORK
I Addition or Replat
I Lot No.
Due
HIW SEWEI WATER STORMS FEES FEES RElAY S. SEWER WATER STORMS FEES
From MaIn 10 Curb /. 1/(1"," III ¿/ ", r// x, Seplic Tanks From Main 10 Curb
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nom Curb 10 BuDding Electric Pumps From Curb to Builcüng
Repair
INSIDE WORK
NO.
HEW
HO.
NO.
FEES
HEW
REP. I USED
fEES
HEW
REP.
USED
liP.
USED
FlES
Beth Tub
Gubage DiIpon1o
Dishwashers
Conduclors
Ca!ch BaslBs
Wub Bulu
Wuer Clooel
Laundrama!tl
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Grease Cuch Baslne
ShsIi:
Wuer Softeners
Sump Pump k Ejectors
Wa!er Heuers
Sanitary Bubblers
Bu and Soda Wasles
Shower Ba!hs
Udnais
FlOOl" Dr8IDs
Denial Cuspidors
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--
Laundry Tubs
IlIIpecIions -.---nnnOutside
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Service Sinks
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Received Permit and Inspocllon Fe..
----'J='g.g---s.wer Fees
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Fee Verified. Receipled and Recorded
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City T.."",,,
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Due
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In the porformsnce of this work the undersigned owner (or his authorized agent) of said premises end his authorized Plumber hereby egree to be bounden by and
submit to all statutes, city ordinances, and rules and regulations prescribed by the Soard of Public Works for the government of Plumbers.
It Is futher agreed by the undersigned that no other uses will be made of the above connections except as hereinafter listed.
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