HomeMy WebLinkAbout0001130-Plumbing (lateral)
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PLUMBING PERMIT - Oshkosh, Wisconsin
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N~ 1130
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Permit
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Name -42
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Street
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Date
I Lot No.
I Ward
! Addition or Replat
Block
OUTSIDE WORK
NOW SEW" WAIER STORMS FEES FEES RELAY S. SEWER WATER STORMS FEES
From MaIn to C\Il'b Septic Tanks From Main to Curb
~ C\Il'b to BuDding d'c../ J "c JjU-O Electric Pumps From C\Il'b to Building
Repair
INSIDE WORK
NO.
NEW
REP,
NEW
fEES
REP. I USED
FEES
"0.
NEW
REP.
USED
USED
flES
NO.
_Tub
Garbage DlspooaIa
Catch Basirls
1-
--
Wuh Basin
Dishwashers
Conductors
Water CI_I
Laundramats
Grease Catch Basins
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SirIk
Water Softeners
Sump Pump 8< Ejectors
Water Heaten
sanUary Bubblers
Bar and Soda Wastes
Shower Batbs
I ' nocr Dralu
Urinals
Dental Cuspidors
Laundry Tubs
Service Sinks
Inspections .mOutside
~:~::::~:~:::=~~::~~::::~~:::::::=~::..m.Inside
Valuation of the Work Herein Described
$ m,3.J? c2..:..'2!m
$.
a
Fee VerUied, Receipted and Recorded
Received Permü and In.pection F...
...":¡.:m~..Sewer F...
.......L.:n.~Plbg. Fee.
.m........?!.."~.Total
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Date
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I,{ the ~rformence of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to be bounden by ond
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 the undersigned that no other uses will be made of the above connections except as hereinafter listed.
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