HomeMy WebLinkAbout0009618-Plumbing (interior & exterior)
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PLUMBING PERMIT - Oshkosh, Wisconsin' Permit N'? 9618
Street ~
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Plwaher
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I Block I Ward
I Addition or Replat
Date
l Lot No.
OUTSIDE WORK
NEW SEW" WATE. STORMS fEES fEES .ElAY S. SEWE. WATE. STORMS ..ES
From MaiD to Cub /////I-f' ///12.5'> ~// Septic Tanks From Main to Curb
/
~ CW'b to BuUCÜD Electric Pumps From Curb to Building
Repair
INSIDE WORK
.
NO.
NEW
"P.
USED
NO.
NEW
.EP. I USE.
'EES
NEW
USE.
'EES
>.0.
.EP.
FlES
Bath Tub
Garbage DÙlponlI
Catch Basins
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I/.-O?
Wash Basin
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7
DÙlhwashen
Conducto..
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Gra... Catch Basins
Laundramabl
Wat... Clooet
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l7
Sink
Water Softene..
Sump Pump" Ejecto..
Water Heaters
Sanitary Bubblers
Bar and Soda Wastes
Sho"... Bathe
7
/
Dental Cuspidors
/.15
¡. (JC
Urinals
1-
Floor DralDs
Laundry Tubs
Service Sinks
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Valuation of the Work Herein Described
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Fee Verified. Receipted and Recorded
Received Permit and Inspection Fees
..........2,'.<?Q...Sewer Fees
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Date /cV~~ d'
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City T,ea..,..
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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 end
submit to all statutes. city ordinances. and rules and regulations prescribed by the 8o;ord 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 hereinafter listed.
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PlumbIng loope<to.
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.. -. Ç~.RTIFICATE OF COMPLIANCE WITH
CITY OR STATE OF --------~!§~.9}!g!,---------
I S.O. # _--_~E!L_____----I
PLUMBING CoDE
I hereby certify that all of the 'plumbing in house no. -----_!!Z~~Q~ZL___- installed
within a Wausau Home is in accordance with the Çity and! or State of -__\:lUiQCN&IJL_-
Plumbing Code. Al~o, that the drainage and vent piping has been tested with 20 pounds
air pressure for a period of Yz hour. The water supply piping has been tested with 100
pounds of air pressure for a period of Yz hour.
This work has been done under the direct supervision of -~~!9~_!!~~~~--------,
--_:.._--------------------- . licensed master plumber, license no. Wis. 2699. Minn.
1951. Burlington, Iowa 196. Ottumwa, Iowa 36 . Mason City, Iowa 5422,
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SUBSCRIBED AND SWORN TO BEFORE ME THIS
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- -¿¡)~OTARY PUBLIC
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TITLE
My COMMISSION EXPIRES 8-22, 1976
WITNESSED BY:
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RALEIGH FISHER' MASTER
PLUMBER #2699
STATE OF WisCoNSIN
FORM NO. 43076.8 M.P.
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