HomeMy WebLinkAbout0009772-Plumbing (laterals)
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PLUMBÎNG PERMIT - Oshkosh, Wisconsin Permit N'? 9772
. -V ---I- >. Name ~ "', . () n r5;r-'. Street
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I Lot No. --I Block _I Ward I Addition or Replat
OUTSIDE WORK
Date
NEW SEWEll WATER STORMS FEES fEES RELAY S. SEWER WATER STORMS fEES
From MaIn to Curb Septic Tanks From Main to Curb
FNm Curb to Bui1d1ng Electric Pumps From Curb to Building / II
Repair Y :ktfo
INSIDE WORK
NO.
NEW
NO.
NEW
fEES
NEW
fEES
REP.
USED
REP. I USED
"o.
REP.
USED
RES
-
Bath Tub
Garbage D~
Catch Buw
I--
Wub Buin
Dishwuhen
Conducto..
Wat.. CI...t
Laundramata
Graue Catch Buw
I-
Sink
Water Softene..
Sump Pump" Ejecto..
Water Heate..
Sanitary Bubblers
Bar and Soda Wutes
Sho..... Baths
Urinals
F1oor DratDa
Laundry Tubo
Dental Cuspido..
Service Sinks
,f2~~:f_~:;_::r_~__: ::::_::::_::
Fee Verified, Receipted and Recorded
Received Permit and Inspection Fees
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A!.'/".o.Û------Total
11-02.3. 1 &.
IDipectiona
.._----------_._------------------------__--Outside
._--------------------------------------------------Inaide
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--'---------Ci¡;ïTre.;;-~;ë;-------------------------'
Date
In the psrlormlnce of thi. work the undl..igned owner (or his luthori.ed agent) of .aid premise. end hi. luthorized Plumber hereby agree to be bounden by and
submit to ell .tatute., city ordinances, and rules and regulations prescribed by the Soard of Public Works for the government of Plumbers.
I! Is futher agreed by the undersigned thlt no other u..s will ba made of the above connections except as hereinlf ...
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