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HomeMy WebLinkAbout0000651 P PLUMBING PERMIT - Oshkosh, Wisconsin :?:.rlο-,kL~....,., ~:r g~~,....~....,..,....... :!~~r I~~ I~ 1- OUTSIDE WORK N<: 651 1¿',2e.....;;P/~~",.....---,....,-- ¡ Addition or Replat Permit Date NEW SEW" WATER S'ORMS FEES FEES RElAY S. SEWER WATER S'ORMS FEES From MaIn to Curb Seplic Tanks From Main to Curb From Curb to Building .,/" ~ ~ Eleclric Pumps From Curb 10 Building Repair INSIDE WORK NO. NEW RIP. USED "ES NO. NEW REP. I USED FEES "0. NEW REP. USE. FEES Bath Tub Garbage Dl8posals Catch Bullis Wuh BasiD Dlshwuhen Condudors Water Cloeet Laundramab Gra... Catch Bullis SbIk Water Softeners Sump Pump lie Ejectors Wúer Heaters Sanitary Bubblers Bar and Soda Wules Shower Baths Urinals Floor Drelns Leundry Tube Dental Cuspidors Service Sinks Inspections Valuation 01 the Work Herein Described Fee Verified. Receipled and Recorded Received Permit and Inspection Fees ~=::::~:::~::~~~::~::=::~:::::~::::~::::::<>;:.:~: s.~~,Z........,................m.......... .'::t:1..:::::::::n::r F:-: ......,-'-~,.._..--....__.--......._..--- S,.. .........,.............................,................."...... """""'ë'¡iÿ"'¡;;;;;';;;;"""""""""""'" ""':S{~1tal _..ð7-/?'¡'71-9-~ina1 OK S"""""""""-"""""""""""""'----"""-"". Date t '7 7/' In the perlormance of this work the undersigned owner (or his authorired agent) of said premises and his authorired Plumber hereby agree 10 be bounden by and submit 10 all statutes, city orelinences, and rules and regulations prescribed by Ihe Board of Public Works for the governmenl of Plumbers. II Is fulhe, agreed by Ihe undersigned that no othe, u..s will be made of the above conneclio~_"xceJ>l_asherelnaf e' Ii~ed. ~.=:~~=:=::: ....~..c~_i~~..,..