HomeMy WebLinkAbout0000552 P
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PLUMBING PERMIT - Oshkosh, Wisconsin Permil N~ 552
--~--------------------------------- ::!:r --------------___-L~L______-/d~----------------- :!~r -----
and
Number ---
b I Ward
OUTSIDE WORK
I Addition or Replal
I Lot No.
Dale
--
NIW SEwn WATER STORMS FEES FEES RELAY S. SEWER WATER STORMS FE"
From MaIn 10 Curb Septic Tanks From Main 10 Curb
From Curb to Building Eleclric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO-
REP.
FEES
USED
liES
NO.
NEW
NEW
REP. I USED
FE"
"0.
NEW
REP.
USED
Beth Tub
Garbage Dls~
Catch Bulns
Wash Buin
Dlshwuhers
Conduclors
Waler CIGHt
Laundrame.ls
Graue Calch Bulns
BInk
Waler Softenero
Sump Pump 8< Ejeclors
Weier Healers
S8I1Üary Bubbiers
Urinals
Bar and Soda Wutes
L..r ßd~
.../
Shower Baths
Lø:J
Floor DraIDs
Laundry TubR
Dental Cuspidors
Serviœ Sinks
:Š~~:~:._::~::_::~=_::
e
Fee Verified, Receipted and Recorded
Inspedions ----------Oulside
~=:::=:::::::===::=:::::::=:=:::::_-----______Inside
Received Permit and Inspection Fees
-----.------------.-------Sewer Fees
----l,--_qp--------Plbg. FeeR
n_--¿J¿P---------Total
Dale 7/27h'7
.Çj.¡-iB-I---ì-~inaJ OK
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s
CUy T..o",o,
Inthe performRnce of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to'be bounden by and
submit to ail statutes, 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 mada of the above connections except as hereinafter ..
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