HomeMy WebLinkAbout0009690-Plumbing (repair)
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R-
of
Plumber
PLUMBING PERMIT - Oshkosh, Wisconsin Parmil N? 9690
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Date
I LotRo. r:OCk I ~ward
OUTSIDE WORK
I Addition or Replat
NEW SEW" WATER srORMS "ES filS RELAY S. SEWER WATER STORMS 'EES
..
From MaIn 10 Curb Septic Tanks From Main 10 Curb '
FRom Curb 10 BuDding Electric Pumps From Curb 10 Building /
Repair y .'1 /.ðC
0
INSIDE WORK
NO.
NEW
UP.
USID
NO.
NEW
REP. I USED
....
;.0.1
REP.
USED
'EES
NEW
FEES
Bath Tub
Garbage Dlapoaals
Ca1ch Basins
1-
Wash Basin
Dishwashen
Conducto..
Water Cloaal
Laundramatl
Gre... Catch Basins
f--
Sink
Water Softene..
Sump Pump 81: Ejeclo..
Wa1er Heaten
sonUary Bubhlen
Bar end Sode Wasles
Shower Baths
UrIna]a
noor Dr.....
Denle1 Culpidon
~
Laundry Tubo
Service Sinks
Inspedions Valuation of Ihe Work Herein Described Fee Verified. Receipted and Recorded Received Permil and Inspecllon Fe..
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In the perlormlnce of thil work the undersigned owner (or hil Iuthorired Igent) of laid premiles and his authorired Plumber hereby agree to be bounden by ond
lubmlt to all Itatutes, city ordlnlncos, and rules and regulations prescribed by the Board of Public Workl for the government of Plumbers.
It II futher Igreed by the undersigned that no other Usel will be made of the above connectionl except al hereinafter lIated.
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Plumbl"9 ,..podo'