HomeMy WebLinkAbout0009725-Plumbing (wash basin & water closet)
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Kame
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Plumber
PLUMBING PERMIT - Oshkosh, Wisconsin Permit N<'! 9725
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~ Name ~
of
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--I Block I Ward
I Lo.I No.
I Addition or Replat
Date
OUTSIDE WORK
Haw SEWEll WATER S'ORMS fEES FEES RELAY S. SEWER WATER S'ORMS FEES
--
From MaIn to Curb Septic Tank. From Main to Curb
From Curb to Bundlng Eleclric PumPA From Curb to BuUeling
Repair
INSIDE WORK
NO.
NEW
UIED
NO.
NEW
FEEl
NEW
REP.
FEES
UIEO
REP. I UIEO
tlO.
REP.
FIES
Bath Tub
Garbage DiIpoAIs
Catch Bulns
Wuh Buin
ffi
f-----
I,-cd
/ßC
Dishwuhen
Conducto..
Greue Catch BulrlS
Laundr-
Water Clooet
Sink
Water Sofiener.
Sump Pump 8< Ejeclor.
Water Hoaten
Sanitary Bubblers
Bar and Soda Waste.
Shower Baths
Urinals
noor Drains
Dental Cuspidon
1-
Laundry Tubs
~:~":_--------_._n_----_._..__.__nOutside
Service Sinks
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Fee Verified, Receipted and Recorded
Received Permit and In.peclion Fees
/I-.-.---_---_---__n---__Sewer Foss
Jn~§9.nn---PIbg. F..s
fPc--------n----D......--Total
Date 1/ -mCf. 7 fr;
--------------------.-..----------.-______n__....----Inside
$
$_00__---_00--------'_'--_---00---------'00"_----------'----------____00-
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--------m----..--.---------.-------_--____n'__--_'-
--.-------------------FiDal ox
In Ihe performence GI this wGrk the undersigned Gwner (Gr his authGrized agent) e>f said premise, and hi, authGrized Plumber heraby agree tG be bGUnden by ond
submit tG all .tatute., city Grdinance., and rule. and regulatiGn. prescribed by the Board e>f Public Works IGr the gG.emment GI Plumbers.
It Is luther agreed by the undersigned that nG Gther uses will be made GI the abGve cGnnectiGn, except as hereinafter listed.
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