HomeMy WebLinkAbout0009057-Plumbing (sump pump)
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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 9057
Hame Name Street
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l Lot No.
r:=-- l Ward
I Addition or Replat
Dale
OUTSIDE WORK
N§W SEW" WATER STORMS FE" fEES RELAY S. SEWER WATER STORMS FE"
From MaIn 10 Curb Septic Tanks From Main to Curb
From Curb 10 BuUcllng Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO- NEW UP. USID HES NO. NEW REP. USED fEES NO. NEW REP- USED fEES
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BaIb Tub Garbage Diapooalo Catch Basinl
1- -
Wasb Basm Dishwashers I~ Conductors
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WaI... Cl_1 Laundramalo Grease Calch Basins
Sink Waler Softeners Sump Pump Be Ejectors / ~
Waler Healers Sanitary Bubblers Bar and Soda Wastes
Show... Baths UriDals
I~ - 1-
FloĊ Dralu Dental Cuspidors
Laundry Tubs Service 5mb
Inspections Valuation of the Work Herem Described Fee Verified, Receipted and Recorded Received Permit and Inspection Fees
-----------..---------------...-......--------Outside $.....--__...7~_f)o..._...--.------------_..._---------- _#J::~:~_:::::::::~:r F:7
---------...--...-----------...----...-----------------Inside
$....--...--.......----------...--.......--.-----.-.----------------------- ::It_L9._I;¡-...------Total
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----------------..-------FiDal OK $......--......--...---------...----...--......-...---------...--...------ Date ,yþj!?¡:;
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In Ihe IMriormance 01 Ihi. work Ihe undersigned owner (or hi. aulhorired agenl) 01 said premise. and hi. aulhori.ed Plumber hereby agree 10 be bounden by and
submll 10 all slaluta., city ordinances, and rules and regulations prescribed by Ihe Board of Public Work. lor Ihe government 01 Plumbers.
II Is lulher agreed by the undersigned Ihal no other use. will be mede 01 Ihe above connac~~ herelnaller lisled.
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