HomeMy WebLinkAbout0000380 P
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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 380
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I Lot No. I Block I Ward ~-~ I Addilion or Replat
OUTSIDE WORK
Date
NEW SEwn WATn STORMS fEES fEES RElAY S. SEWER WATER STORMS fEES
From MaIn 10 Curb Septic Tanks From Main 10 Curb
From Curb 10 BuDding Electric Pumps From Curb 10 Bundln"
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INSIDE WORK
NO. NEW REP. USED filS NO. NEW REP. USED fEES "0. NEW REP. USED fEES
- - - -
Beth Tub Garbage D~ Caleb BUÙUI
-
Wuh Buin DW1wuben - Conductors
- - - -
Weier CI_I LaundrllDlAb Gnue Celeb Bulns
-
SIJIlr: Water Softeners Sump Pump 8< Ejectors
Water H.eI.n Sanitary Bubblen Bar and Soda Wutes
Shower Ba1h8 Urinals
Floor »raIDs Dental Cuspidon -- 1-
-
Laundry Tube Service Sinks
Insped!ons Valuation of tbe Work Herein Described Fee Verified. Receipted and Recorded Received Permit and Inspeclion Fees
--~--_...~-~~-~ .......-~ ~..--_._. --- -- --.. Outside $---~:_~------------- -_..~-~---------_.._-------'-- --/:_.~_.._-_Sewer Fees
.-------.--------------....------..-----------.-Inside --------.------PIbg. F..s
$.....----------------------........-------...------- ---_/_-~-----Tota1
----//l-;::¡l-;¡==~~ -~;. $------..---------.-..-----------------.-...------- ---"'---"--"-ë-iíÿ-T;';;;-;;~;---~----"'--------- Date &'. /11- 7"7
In the performance of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to b. boundan by and
submit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It Is futher agread by the undersigned that no other uses will be made of the above connections except as hereinafter listed.
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