HomeMy WebLinkAbout0008960-Plumbing (repair water lateral)
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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 8960
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Date I Lot No. I Block I Ward I Add;;;on or Replat
OUTSIDE WORK
NEW SEWEll WAtER STORMS FEES FEES RELAY 5- SEWE. WATER STORMS ..,5
From Main to Curb Septic Tanks From Main 20 Curb
no... C....b SO BuDding Elecuic Pumps From Curb to Building -----
Repair V ¡'H
INSIDE WORK
NO. NEW IIIP. USED FIn NO, NEW "P. USE. Fm NO. NEW REP. USED FEES
- - - ~
Batb Tub Garbage Dizpooals Catch Bulw!
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Wuh B8IÙI Dilhw...hen Conductors
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Wilier CI_I Laundramal¡¡ Grease Catcb BIIAins
SI:aJc Wúer Soften..... Sump Pump 8< Ejectors
Wll!er Heaten Sani1ary Bubble... Bar and Soda WaaI.s
Shower .BaIba Urinals
Fl..... Dr" Dental Cuspidors
Launcl!y Tubs Service Sinks
¡"",pectio"", Valuation of tbe Work Herein Described Fee Verified. Receipted and Recorded Receivod Permit and ¡"",pectiOD Fees
--..---..-------------OuIIicle $--d2-7It2,..~...._.._......_-------_.._.._----.. ------------..-------Sewer Fees
.-----..---------------....-.--1lOSfdo ___--L~-=::'._-PIbg. Fees
----.--------- $......------..---....-------.-------------------------- --...._L~--Tofal
------------Fina1 OK $------------------..---------------____--m- ------"----""-"""-ëi¡;¡Ÿ~.-;.-;;;;----""-----"----- Date / .01 7. 7 fc,
In the performance of this work the undersigned owner (or his authorized agent) of ..id premlsos and hi. authorized Plumber hereby agroe to b. bounden by and
submit to all statutes, city ordinancos, and rul.. and regulation. proscribed by tho 1I",a.'d of Public Works for tho government of Plumber..
It is futhar agreed by the undersigned that no other uses will be made of tho above connection. except as hereinafter listed.
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