HomeMy WebLinkAbout0009169-Plumbing
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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 9169
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I Block I Ward
I Lo.I !l'o.
I Addition or Replat
Dale
OUTSIDE WORK
NOW slwn WATER STORMS '"ES FEES RELAY S. SEWIR WATER STORMS FEES
From MaIn 10 Curb Septic Tanks From Main 10 Curb
From Curb to BuDding Electric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO.
NEW
UP.
NO.
NIW
REP. I USE.
NO.
NEW
FEES
RIP.
USE.
FEES
US"
..IS
BaIb Tub
Garbage Diapooals
Catch Basins
Wash Basin
Dishwashen
Conductoro
-
Water Cl_1
Laundrama18
/
/..öÞ
Gre... Calch Basins
SIJIk
Waler Softenero
Sump Pump I< Ejectoro
/
/...6Ó
Water Heale..
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Sanitary Bubblers
Bar and Soda Wasles
Ih/.Cé
Show.. BaIhs
Urin81a
F,-,-,-
Floor Dr"'"
I
Denial Cuspidors
/'a'O
Laundry Tubo
Inspections
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Service Sinks
Fee Verüied. Receipled and Recorded
Received Permit and ¡nspaction Fees
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Date ;tha,!)c;
Valuation of Ihe Work Herein Described
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$--- _00___00__'_---00-00____'-------- ______0000
$ _nm -- ----- ------ ---. - _00- __om -- - -----______00-
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____00_________00__-_-_---------
City T,...v,.,
In the performance of thi, work the undenigned owner (or hi, authorized agent) of ,aid prem!,es and his author ired 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 Plumben.
It I, futher agreed by the undersigned that no other uses will be mede of the above connections except as hereinalter listed.
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Plumb.,
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PLUMBING
~,
I HmEBY CERTIFY THAT ALL OF THE PLUMBING IN T!!IS
MILL-CRAFr HOME, BUILDING NO,
C'5- ;<313
.
IS IN ACCORDANCE WITH THE STATE OF WISCONSIN
PLUMBING CODE,
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Signature
Title
r HmEBY CERTIFY THAT I HAVE INSPECTED THE ABOVE
NUMBERED JOB AND TO THE BEST OF MY KNOWIEroE FIND
IT TO BE IN COMPLIANCE WITH THE ABOVE CODE,
Inspected bYI 7 L...::)J¡ 0' .€. .:0- ....
~~
Title
Subscribed and Sworn to B~fore Me This
/s-,d- Day Of~ 192C
~4~ '-~-
npaca onnty, ~~
Notary Pablic
My CoJlllllissiori IDxp:ires-
/¿J' -~
19?Ç
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