HomeMy WebLinkAbout0008076-Plumbing (repair)
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. .PLUMBING PERMIT - Osh~()sh,Wisc:onsin pernûtN? 8076
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Dille
[ Lot No.
I-Block " Ward
OUTSIDE WORK
I Addition or Replat
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NEW SEWEI WATER STORMS fEES '""5 RELAY 5, SEWE' WATER STORMS 'EES
)om Maû1 to Curb Septic Taaks From Main !o Curb
~ Curb to Building Electric Pumps From Curb to Building L
Repair Iff/ dO
INSIDE WORK
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NO. NEW UP. USID FlES NO. NIW R,P. USE. '""S NO, NEW RIP. USI. '"ES
Batb Tub Garbage Dilipooall Catoh BasiDs
Waab BaaiJI Dilihwashen Conductors
- - -
WlderCIos8t LaUDdr8llUlb Grease Catch Basins
SIIIk Water Softeners Sump Pump 8< Ejectors
Wider Heaters Sanitary Bubblers Bar end Soda Wastes
Show.. Baths UrhWs
Floor Drains Dental Cuspidors
LallDdry Tubs Service SlDb
IlISpsctIoIIS Vi-ation of the Work HerelD Described Fee Verified. Receipted and Recorded Received Permit and IlISpeetion Feas
-------------- ------ ----Outside $---js:.~-.QQ-------_._------------------- -~----------_--__--Sewer Fees
----li-f/K-------_Inside -- _e.Œ._Ó-------:PIbg. Fees
---- - --d,. - --------------- $----------------------------------------- 1, 6
---------------------FhIal OK $------------.-------------------------------- -----------------------cljÿ-Ÿ;;;;~;ë;-------------------------- D~~- 1~7;;J~
In the performance of this work the undarsigned owner (or his authorized agent) of said premises and his authorized Plumher hersby agree to be bounden by end
submit to all statutes, city ordinances. and ruiN and regulations prescribed by the Board of Public Works for the government of Plumbers.
It Is futher agreed by the undersigned that no other usos will be made of the above connections except as herein~<-.!ist.d.
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