HomeMy WebLinkAbout0009727-Plumbing (laterals)
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PLUMBING PERMIT - Oshkosh, Wisconsin
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I Block I Ward
Slreet ~ /- ÚJ Pe~~1Î~ ~ 9727
and 0 - t::(~
Number ......._e......~.._....m._...---m..._-
I Lot No.
I Addition or Replat
Date
OUTSIDE WORK
NEW SEW" WATE. STORMS 'EES 'EES .ELAY S. SEWE. WATE. STORMS FEES
From MaIn to Curb Seplic Tanks From Main to Curb ¿; '/ (?;C /1:7,0
From Curb to BuDding Electric Pumps From Curb to Building
Repair
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INSIDE WORK
NO.
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. NEW
RE'.
USE'
NEW
.EP. I USE.
FEES
"°.
"EW
REP.
FEES
USED
"ES
NO.
Bath Tub
Garbage Disponb
Catch Bulna
Wuh Buin
Dishwuhen
Conducto..
Water Cl_t
Laundramals
Greue Catch Bulna
I-
Sbsk
Water Softeners
Sump Pump Ik Ejectors
Water Heaten
Sanituy Bubblers
Bar and Soda Wutes
Shower BatbI
Urinals
nODI' DrelDa
Dental Cuspidon
Laundzy Tuba
Service Sinks
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~ation of the Work Herein Described
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$
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Fee Verified, Receipted and Recorded
Received Permit and Inspection Fees
.mu3:uÇ'CL.Sewer Fees
::~2:::q9.::::~:; Fees
Date /1-ÇL.7'"
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City "....,.,
In the performance of this work tho undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to be bounden by and
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 excapt as hereinafter listed.
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