HomeMy WebLinkAbout0009210-Plumbing (interior)
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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N<? 9210
. --f-. Name....-v. I /J. --,L- ¡;. / . -.t- ' Street
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OUTSIDE WORK
I Addition or Ra >lat
Date
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Naw SEWEll WATER S'ORMS FEES FEES RELAY S. SEWER WATER S'ORMS FEES
From MaiD to Curl> Septic Tank. From Main to Curb
From Curb 10 Building Electric Pumps From Curb to Building
Rapair
INSIDE WORK
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NO. NEW REP. USID FlES NO. NEW REP. USED FEES "0. "EW REP. USED FEES
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Bath Tub Garbage DilpoAlJI Catch Bulns
/ - -
Wash Buin I.at Dlshwuhers Conductors
1) - - - - -
Water CIORet I},()i Laundramats Grease Catch BuinR -
SbIk Water Softeners Sump Pump I< Ejectors
Water Heaters Sanitary Bubblers Bar and Soda Wute.
Shower BathR Urinals '? J..æ ~~~ cL ~.()
Floor DraIDs / l!6îð Dental Cuspidors
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Laundry TuI>s Service Sinks
Inspections Valuation of the Work Herein Described Fee Verified. Receipted and Recorded Received Permit and Inspection Fees
~=¥1~11~::::::<>;':~: $..~ílj12.a.Q..........................._.._.._..............- ;.(f.....................Sewer Fees
.../j6...ò.C1.....pll>g. F..s
$........ .......... ........ ....... ..... .....-............................... '¡/f-~t).tL..Total
==~~~~i~::-~; $......................................................--........-..--- ................. ".....ë.;;Ÿ.T';;;~;.;..."'.".....""..""'. Date ,5;?) h Iff
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In the performance of this work the undersigned owner (or his euthorized agent) of said premises and his authorized 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 futher egreed by the undersigned thet no other uses will be mede of the ebove connections except as4 her.oinafter
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