HomeMy WebLinkAbout0009011-Plumbing (laterals)
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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 9011
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I Lot No. r::-- I Ward
OUTSIDE WORK
I Addilion or Replat
Dale
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NIW SEW" WATER STORMS FE,. fEES RELAY S. SEWER WATER STORMS fEES
From MaIn 10 Curb -"//'1 .J // Co/ '/L A_' Seplic Tanks From Main 10 Curb
C.A- ,-
~m Curb to Building Electric Pumps From Curb 10 Building
-
Repair
INSIDE WORK
NO-
NEW
USEO
NO.
NEW
REP. I USED
NO.
NEW
USID
fEES
RIP.
FEES
RE'.
filS
BathTub
Garbage DilpoAlI
Catch Basins
f-------
Wub Basin
Dishwasbers
Conduclors
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Water CIOI8I
LaundrlUlULl8
Greue Catch Basins
f-------
Sink
Water Soileners
Sump Pump II< Ejectors
Water Heate..
Sanitary Bubblers
Bar and Soda Wastes
Shower Baths
Urlnail
Floor Dr"
Denial Cuspido..
Laundry Tubo
Service Sinks
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Valuation of Ihe Work Herein Described
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Fee Verified, Receipled and Recorded
Received Permil and Inspecllon Fees
---S'8-0-----__---_Sewer Fees
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Date3) ¡'it}
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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 and
.ubmlt to all otatutes, 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 hereinafter I~ted. -------,
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