HomeMy WebLinkAbout0001186-Plumbing (repair sewer)
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PLUMBING PERMIT - Oshkosh, Wisconsin Permit Nt; 1186)<
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I Lot No. I Block I Ward ...I.~ddition or Replat
OUTSIDE WORK
Dat.
NEW SEW" WATER STORMS FEES FEES RnAY S. SEWER WATER STORMS FEES
From MaIn to Curb Seplic Tanks From Main 10 Curb
FJom Curb to BuUdlng Electric Pumps From Curb to Building
Repair V /.Oi)
INSIDE WORK
NO.
NEW
NO.
NEW
FEES
FEES
NO.
NEW
REP.
USEO
REP. I USED
REP.
USED
FIlS
Bath Tub
Garbage Dllpooals
Catch BaslDs
Wuh Basin
Dishwashars
ConducloTl
Wider CI_*
Laundramato
Grease Cldch Basw
f---
Sink
Wider Softeners
Sump Pump 8< Ejectors
Wider He..en
Saniluy Bubblers
Bar and Soda Wales
Shower Baths
Urinals
noor DraiDo
Dental Cuspidors
LaUDdrr Tuba
Service Sinks
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.
Received Permit and Inspaction Feas
--_/~-~..--Sewer F...
-_.~--..._.Plbg. Fee. .
D~~Ù~%2;r
Fee Verified. Receipled and Recorded
IlSIIpeclions
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In' the' performence of this work the undersigned owner (or his euthorlud agent) of said premises and his authori.ed Plumber hereby agree 1'0 be bounden by OIId
submit to ell statutes. city ordinance,. and rule, and regulations prescribed by the Board of Public Works for the government 01 Plumbers.
It I, luther egreed by th" undersigned that no other uses will be made 01 the above connections except as hereinafter listed.
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