HomeMy WebLinkAbout0009016-Plumbing (water closet)
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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N'.? 9016
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I Addition or Re¡>lat
ì Lot No.
I Block I Ward
Dale
OUTSIDE WORK
Nnw SEwn wAn. STORMS fEES FEES 'ELA' S. SEWE' WATE' STORMS FEES
From MaIn to Cub Septic Tanks From Main 10 Curb
~m Cub ID BuDding Electric Pumps From Cub 10 Building
Repair
INSIDE WORK
NO.
NEW
UP.
NO.
NEW
'EP. I USE.
fEES
NEW
"ES
'EP.
USE.
NO.
USED
"ES
BaIh Tub
Garbage Dilponb
Calch Bulm
I----
Wash BuiD
Dishwuben
Conduclors
WalK CI_t
/
'I../fO
Laundramaltl
Grease Calcb Bulm
Sink:
Waler Softeners
Sump Pump 8< Ejectors
Waler Healen
Sanitary Bubblers
UriDals
Bar and Soda Wastes
ShowerBaIiuI
H
Floor DraIDs
Denial Cuspidors
Laundry Tube
Inapecllons
-.-....--....----..................-............Oulllide
..........................__.........._......-........Inslde
Service SiDks
Valuation of the Work HereiD Described
$... .1t;2.{l[j. .".. .fl:. .t........ ..-.. -...... _......0
,
. '
Fee Verified. Receipled and Recorded
Received Permit and Inlpecllon F...
............................Sewer Fees
...~.o:.ø........Plbg. F..I
.....~/-.ó'.CI-....Tolal
Dale ~ / ;>£
..................................
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$..................................................-..................---
City "....,..
In the performance of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to be bounden by ond
lubmlt to all Itatutes, 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 hereinalter listed.
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