HomeMy WebLinkAbout0001101-Plumbing (laterals)
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NIW SEW" WAn. STORMS FEES FEES 'E'AY S. SEWER WATE' STORMS FEES
From Main 10 Curb Septic Tanks From Main 10 Curb
FNm Curb 10 BuDding V"" ""--- ~ Eleclric Pumps From Curb 10 Building
Rapair
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of
Plumber
PLUMBING PERMIT - Oshkosh, Wisconsin
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I Lot No. I Block I Ward
OUTSIDE WORK
I Addition or Replat
Date
INSIDE WORK
110.
NEW
REP.
FlES
NEW
REP. I USE.
NO.
FEES
USED
NO.
Bath Tub
Garbage Dlapooa1s
Catch BuInJ
I------
Wub Buin
Dlahwuhers
Conductors
Water Cl_1
LaundramaIR
Grease Catch BuInJ
SIDk
Water Softeners
Sump Pump Be Ejeclors
Water Heaters
Sanitary Bubblers
Bar and Soda Wules
Shower Baths
Urinals
[-
Floor Dralrul
Laundry TubE
Denial Cuspidors
Service Sinks
Valuation of Ihe Work Herein Described
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Permit
N~
NEW
.EP. [ USE'
"ES
IDSpedions
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Received Permit and IDSpeclion Fees
-..m_3,---"12-_.._-Sewer Fees
.._--_J~_.tJ.Qm--__Plbg. Fee.
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Dale :< no 'l.- 7/"
Fee Verified. Recelpled and Recorded
---------------______m______-----"-----------"----
----
City T,...u,.,
In the perform.~~e of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agrae to be bounden by ..,d
submit to all statutes. city ordinancas. and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
by the undersigned that no other uses will be made of the above connections except as hereinafter listed.
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