HomeMy WebLinkAbout0001703-Plumbing (water lateral)
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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N<: 1703
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I Lo.I 11'0. I Block I Ward I AddUion or Re >lat
OUTSIDE WORK
Due
NEW SEwn WAtER STORMS FEES FIlS RELAY S. SEWER WATER STORMS FEES
From MaIn 10 Curb Seplic Tanks From Main 10 Curb
From Curb 10 BuUdlng Electric Pumps From Curb 10 Building ./ /t:3
Repair
INSIDE WORK
NO.
NEW
UP.
FRES
NEW
REP. I USED
FEES
NEW
REP.
FEES
USfD
NO.
USED
NO.
Bath Tub
Garbage Dio~
Diohwashen
Catch Buhu
I---
Wuh Basin
Conductors
Wuer CI_I
LaundrllDUl.b
Greue Catch BasiDe
I---
Sink
Water Softeners
Sump Pump II< Ejectors
Wuer Heaters
Sanitary Bubblers
Bar and Soda Wasles
Show.. Baths
UriDa1a
1-
noor Dr8lu
Dental Cuspidors
Laundry Tubo
~~~:_........._.........._........Oulside
, ' Service Sinks
~ Valuation of the Work Herein Described
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City T....u,.,
Fee Verified. Receipted and Recorded
Received Permit and Inspection Fees
mmm.....m.......Sewer Fees
......./LÇQ.......Plbg. Faas
....../,...c::9......Total
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In the performance of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to be bounden by and
submit to ell statutes, city ordinances, and rules and ragulatlons prescribed by the Boord of Public Works for the government of Plumbers.
It Is futher agraed by !fie undersigned that no other uses will be made of the above connections except as hereinafter listed.
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