HomeMy WebLinkAbout1978-Plumbing (water lateral)
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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 1028
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I Lot Ho. I Block I Ward I Addition or Replat
OUTSIDE WORK
Dale
NEW SEWn WAUR STORMS FEES FEES- RELAY S. SEWER WATER STORMS FEES
Foom MaiD to C...b Seplic Tanks From Main 10 Curb
From C...b 10 BuDdin" Eleclric Pumps From C...b 10 Building
Repair v' 1,00
INSIDE WORK
110.
REP. I USED
FEES
NEW
FEES
NO.
NEW
REP. I USED
FEES
"O.
NEW
REP. I USED
BaIb Tub
Garbage DiIpooalo
Caleh BUÙUI
Wuh Buin
DlIhwuhen
Conducloro
WaiN Cloeel
Laundrama18
Greue Calch Bulno
f---
Sink
Waler Softener.
Sump Pump" Ejecloro
Waler Healers
Sanitary Bubb1ero
Bar and Soda Wule.
Show.. BalbI
FlODl Drains
Urina1I
Denial Cuspidors
Leunclry Tuba
Service Sinks
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Valuation of Ihe Work Herein De.cribed
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$-
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_.!--o..Qm--m--Plbg. Fees
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Fee Verified. Receipled and Recorded
Received Permit and Inspection F-
-_m--_----_----.- m--mSewer Fees
-
---------FiDal OK
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---.-.
In the performance of this work the undersigned owner (or his authori.ed agent) of said premises and his authori.ed 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 Plumbers.
It Is futher agreed by theßndersigned that no other uses will be made of the above connections except ~ ~ereinaftar listed.
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