HomeMy WebLinkAbout0009804-Plumbing (laterals)
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. PLUMBING PERMIT - Oshkosh, Wisconsin
~ ~'Name ~ ~
. ,vvof ,-
."-""'-m.. .~..... .... .............Owner.......::......,.. ..." ......~.........._........
I Block I Ward
Permit
NC: 9804
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Street .
N::'ber ....i.;¿/+6~......
! Lot No.
I Addition or Replat
Date
OUTSIDE WORK
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NIW SEwn WAnR STORMS FEES fEES RElAY S. SEWER WATER STORMS fEES
From MaIn to Curb Septic Tanks From Main to Curb
From Curb 10 BuDding W11(Tj III Û1r. 'F't-! OÒ Electric Pumpo From Curb to Building
Repair
INSIDE WORK
NO.
NEW
RE..
FlES I NO.
NEW
REP. I USED
FEES
NEW
RE..
FEES
USED
1<0.
USED
Betb Tub
Garbage DIs~
Catch BulnR
Wuh Basin
Dishwashers
Conductors
Water Cl_t
Laundramatl
Grease Catch BasÍDR
f--
SIDk
Water Softeners
Sump Pump 8< Ejectors
Water Heate..
Sanitary Bubblers
Ber and Soda Wastes
Shower Baths
UriDalo
Floor Dralu
Dental Cuspido..
I--
Laundry Tubs
Inopectlono
--.............---......................-........Outllde
Serrice Sinko
.....................-............-................-....Inside
Valuation of the Work Herein Described
$...&9..,...!2lJ.... .................................-
.
Fee Verified. Receipted and Recorded
Received Permit and Inspection Fe..
......5.QD......8ewer Fees
~.~......Plbg. FOIs
'/;í..j!¿................. Total
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...........................................-...........
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Date
In the performlnce of this work the undersigned owner (or his luthorired agent) of said premises and his authorired Plumber hereby agree to be bounden by and
submit to III statutes. city ordinances. Ind rules Ind regulltions prescribed by the Board of Public Works for the government of Plumbers.
It is futher Igreed by the undersigned that no other uses will be mode of the above connectiops.~xcept as hereinllter listed/]
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