HomeMy WebLinkAbout0009853-Plumbing (water heater)
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PLUMBING PERMIT - Oshkosh, Wisconsin Parmi! N'? 9853
0 Name /) Street
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/Y~/7? I I {/ I I
Deie Lot No. Block Ward Addition or Replat
OUTSIDE WORK
11'.....
of
Plumber
NIIW sown WATER STORMS FlES '"" RILAY S. SEWER WATER STORMS filS
From Main to Curb Septic Tanks From Main to Curb
From Curb to BuDding Eleclric Pumps From Curb to Building
Repair
INSIDE WORK
NO. NEW UP. US"" ..IS NO. NEW RIP. USED FEES "O. NEW RIP. USED '""S
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Batb Tub Garbage Dlspooa1s Catch Bulns
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Wub Buln Dlshwuhen Conduclo"
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Weier Cl_t Laundramais Gre... Catch Bulns
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SIJIk Water Softene.. Sump Pump II< Ejeclors
Water Heate.. / Sanitary Bubblers Bar and Soda Wules
Show.. Batba UriDa1s
Floor Drains Dental Cuspidors
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Laundry Tubs Service Sinks
Inspections Valuation of the Work Herein Described Fee Verified. Receipted and Recorded Receivad Permit and Inspection Fees
-------------------------------------_--Outside $-------------- --------------------------------------------- ------------------Sewer Fees
--------------------------------------------___---Inside -----j,--12-<2----P1b¡¡. Fees
------------------------------------------------ $--------------- --------------------------------------------- -----I--4JQ..-_--Total
-----------------------FiDal OK $-______L2?2--~---~------------------------------------- ----------------------ë:-,¡;¡ÿ;;;¡.ú;;;;------------------ Date 1t.¡/.JJ;/?6
In the performanca of this work the undersigned owner (or his authorized agent) 01 said premises and hi. authorized Plumber hereby agree to ba boundan by and
submit to all statute., city ordinances, and rules and regulations prescribed by the Board of Public Works lor the government 01 Plumbers.
It is luthar agreed by the undersigned that no other uses will be made 01 the above connections except as hereinafter listed.
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