HomeMy WebLinkAbout0009275-Plumbing (repair)
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Name
of
Plumber
PLUMBING PERMIT - Oshkosh, Wisconsin Permit N? 9275
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OUTSIDE WORK
r AddUion or Replat
Date
-
NIIW
SlW"
WATER
STORMS
FEES
RELAY
srORMS
FEES
WATER
S- SEWER
From MaIn to Curb
FEES
Septic Tanks
From Main to Curb
FMm Curb 10 BuIlcllng
Electric Pumps
From Curb to BuUcllng
Rapair
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110.1 I~~. I NEW I REP. I USEO I FEES I "0. , , NEW I REP. I USED I FEES
Bath Tub
Garbage DÙlpoqIa
Catch Bulns
Wub Buin
1-
DÙlhwuh...
Conducto..
Wat... CI_t
Laundramata
Greue Catch Bulna
Sink
Water Softene..
Sump Pump 8c Ejectors
Water Heate..
Sanitary Bubblers
Bar and Sode Wastes
Show... Baths
Urinals
Floor Dr8lDa
Leundry T\Ibo
Dental Cuspido..
Senica Sinks
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Valuation of the Work Herein Described
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Fee Verified. Receip!ed and Recorded
Received Permit and Inspection Fees
Sewer F...
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In the performonco of this work tho undersigned owner (or his outhori.ed ogent) of said premises end his outhori.ed Plumber hereby ogree to be bounden by and
submit to oil statutes, city ordinences, and rules end reguletions prescribed by the Board of Public Works for the government of Plumbers.
It Is futher egreed by the undersigned that no other uses will be made of the above connections except as hereinafter listed.
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PlumbIng In,pe<to,
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