HomeMy WebLinkAbout0009073-Plumbing (water heater)
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PLUMBING PERMIT - Oshkosh, Wisconsin
H..... ' í)~/ Ý '- ~ Hame 4dI£ ~. Street
of ---rJ ~ --r.~, of and
Plumber ----- ---------------.--------------------------- --------.--- Owner -- : ----------- - -------- - - --------------------- Humber ---
Date ¡ Lo.t No. I Block I Ward I Addition or Replat
Permit N'? 9073
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OUTSIDE WORK
NIW SEwn WATER S'ORMS "ES FEES RELAY S. SEWER WATER STORMS fEES
From Main to Curb Septic Tank. From Main to Curb
From Curb io Building Electric Pumps From Curb to BuilCÜDg
Repair
INSIDE WORK
NO.
NEW
RI..
NEW
R'.. I USED
USED
fEES
FEES
NO.
NEW
R'..
USED
IRES I NO.
Bath Tub
Garbage DlapoAls
Catch Basins
Wash Basin
Dlabwashen
Conductors
Water Clooet
LaundramatR
Grease Catch Basins
f-
Sink
Water Softeners
Sump Pump 81: Ejectors
Water Heate..
/
II &'()
Sanitary Bubblers
Bar and Soda Waste.
Shower BathR
UriDala
Floor Drains
Dental Cuspido..
La1U1dry Tubs
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Service Sinks
Fee Verified. Receipted and Recorded
Valuation of the Work Herein Described
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Received Permit and Inspection Fees
----------------------------Sewer Fees
:_]:;~::::::; Fees
~-/6. 7þ
.
-------------------------FiDaI OK
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------- ------------------ë-,¡;¡ÿ,è;.~;ë;-------------------------
Date
In the performance of this work the undersigned owner (or his authorized agent) of said premise. and his authorized Plumber hereby agree to be bounden by and
aubmlt to all statutes, city ordinance., 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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