HomeMy WebLinkAbout0009131-Plumbing (repair)
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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 9131
Street ::::t<..
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~ Name ~ ¿d¿
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------------------- - - - ------------------...... Owner ------------- - ---- - -~--------_.. --- ---------------
I Block I Ward
l Addition or Replat
¡Tot No.
Date
OUTSIDE WORK
Haw SEwn WATER S'ORMS FEES fEES RELAY S. SEWER WATER S'ORMS fEES
From MaIn to Curb Septic Tanks From Main to Curb
From Curb to BuDding Electric Pumps From Curb to Building
Repair ¿;PVI/-Se/t "flr >' lAM
INSIDE WORK
NO.
NEW
REP.
NEW
NO.
FE"
NEW
REP.
REP. I USED
fEES
USED
USED
FI..
NO.
Búh Tub
aarbage Dbposals
Catch Basins
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Wuh Buin
Dl8bwuhen
Conductors
WIIi.. CIOMt
Laundramús
areasa Catch Bulna
I--
SIDII:
Water Softeners
Sump Pump Be E¡.ctors
Water Heaters
Sanitary Bubblers
Bar and Soda Wastes
Shower Búha
UriDels
noor Dr8huo
Dental Cuspidors
Laundry Tubs
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Service Sinks
Fee Verified. Receipted and Recorded
Valuation of the Work Herein Described
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$-
.
Rece~d Permit and Inspection Fees
---m-/-"-QJ..---Sewer Fees
::~dà::::; Fees
Jj.2 7Co
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Date
In th. ""riormanc. of this work th. und.,signed owner (or his authorized a""nt) of said premises and his authorized Plumber hereby agr.. to be bound." by end
submit to all statutes. city ordinencu. and rules and regulations prescrib.d by the Board of Public Works for th. go..rnment of Plumb.rs.
It Is futhr eg",ed by the undersigned that no oth.r uses will b. mad. of th. .bo.e connections .xcept as h.r.inaneo:. listed.
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