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PLUMBING PERMI'! /' Oshkosh, Wisconsin Permit N? 9486
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OUTSIDE WORK
I AddiUo_n -"r_~!,lat
Date
NEW SIWEI WATER STORMS FIlS FIlS RIIAY S. SEWER WATER STORMS FIlS
From MaIn to ClUb Seplic Tanks From Main 10 Curb
Fmm ClUb 10 Building Eleclric Pumps From ClUb to Building
Repair
INSIDE WORK
NO.
NEW
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NIW
'""S
RI,. I USIO
USID
..IS
NO.
FEES
NO.
NIW
RI,.
USE.
Baib Tub
Garbage Dl8poNls
Calch Basins
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Wub BaslD
Dishwashon
Conduclors
Wilt.. CIOIOt
LaundrlUlUl.Ù
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Gre... Catch Basins
SIDIo:
/
Sump Pump II< Ejeclors
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Water Softeners
Wlitor Hellte..
Sanitary Bubblers
Bar and Soda Wasles
Show.. Bliths
UrlDaIa
noor Drains
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g,oc
Denial Cuspido..
Laundry Tubs
Service SIDles
1"uation of the Work HerelD Described
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Fee Verified. Reeeipled and Recorded
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Reeeived Permit and Inspeelion Fe..
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In the performance of this work the undersigned owner (or his authorbed agent) of said premises and his author ired Plumber hereby agree to be bounden by and
submit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It Is luther agreed by the undersigned that no other uses will be mede of the above connections except as herelnaltar listed.
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