HomeMy WebLinkAbout0009167-Plumbing
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PLUMBING PERMIT - Oshkosh, Wisconsin
C), -/./- Name' /J/Yl - ¡J¡) d f} / d ^ -
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I LoiNo. b I Ward
OUTSIDE WORK
Permit
Street
and
N";mber
N~ 9167
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¡ Addition or Replat
Date
14m SIWEI WATER STORNS filS filS RILAY S. SIWER WATER STOR..S FIlS
From MaIn to Curb Septic TaDks From Main to Curb
From Curb to Building Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO.
NEW
UP.
FIlS
NIW
REP. I USID
filS
"°.
USED
NO.
Baib Tub
Garbage Dl8po&a1a
Catch BuÙUI
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II. cd
Wuh Buin
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7
Dl8hwuhen
Conductors
lOt
/
Greue Catch BuÙUI
Laundramall
Water CIOl8t
Sink
Water Softeners
Sump Pump Ik Ejectors
Water Heaten
7
I/.oò
Sanitary Bubblers
Bar and Soda Wastes
Shower Ba1ha
Urina18
noor Dralu
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I,Obi
Dental Culpidon
Laundry Tuba
Service Sinks
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"EW
REP. I USED
filS
7
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Inapedlona
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Received Permit and Inlpection FOOl
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.1í".JfI.<.Ql}.......Plbg. F..I
.~(;,.Q.Q_--_--Total
Date y/ ~/) ¿Ç;
Fee Verified. Receipted and Recorded
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C;ty T,.."..,
In the performance of thi. work the undersigned owner (or his euthorired agent) of said premises and his authorired Plumber hereby agree to be bounden by end
lubm" to ell statutes, city ordinances. and rules and regulation. prescribed by the Board of Public Works for the government of Plumbers.
It Is futher agreed by the undersigned that no other uses will be made of the ebove connections except as hereinafter listed.
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PLUMBING
I HæEBY CERTIFY THAT ALL OF THE PLUMBING IN THIS
MILL-CRAFT HOME, BUILDING NO, ~ .;2;)t:'CJ--
IS IN ACCORDANCE WITH THE STATE OF WISCONSIN
. PLUMBING CODE,
rate: /2-) ;7-/5- 0
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Signature
Title
I HæEBY CERTIFY THAT I HAVE INSPECTED THE ABOVE
NUMBERED JOB AND TO THE BEST OF MY KNOWIEJ:GE FIND
IT TO BE IN COIIPLIANCE WITH THE ABOVE CODE,
&::: . 2:J1 '
Inspected by: -"-.M';; Q ~~~
~.d J.r""
Title
Subscribed and Sworn to Before Me This
/~£t
ray of oe:.J/.:r-""~r-ð-r-- 19 7.-5
Notary Public
My Commissicn Exp:lres -
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