HomeMy WebLinkAbout0000003-Plumbing (water heater)
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," 0 PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 3
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I Lo.I No. I Block I Ward l AddUion or Replat
OUTSIDE WORK
Date
NEW SEWEa WAfER STORMS IE" '£IS RE'AY S. SEWER WAfER STORMS fEES
From M8In to Curb Septic Tanks From Main to Curb
~ Cub to BuDding Electric Pumps From Curb to Building
Repair
INSIDE WORK
110. NEW UP. USED flU NO. NEW REP. USED fEES "O. NEW REP. USID '£IS
- - -
Batb Tub Garbage Disposals Catcb Bulu
1- -
Wub Buln Dishwuhers 1- Conductors
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WatN CI_t Laundramats I Grease Catch Bulu f--..-
SIDk Water Softeners Sump Pump" Ejectors I /;Õ
Watsr Heaters / /,<)0 sanUary Bubblers Bar and Soda Wastes
ShoWN Baths Urinals 1-
Floor Dralu I l Do Dental Cuspidors
-
Laundry Tubs Service Sinks
IDSpedions lZ?- (I f~:: ~~t_:::~ :_::::_:: Fee Verified. Receipted and Recorded Received Permit and Inspecllon Fees
-----~ld2'Z'-' -- ------au !side ----------......--__-Sewer Fees
.-------- -- --- -. -- -- ---.._------------Inslde Il,,1AAt2CL--Plbg. Fees
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In the perform. nee of this work the undersigned owner (or his authorirad agent) of said premises and his authorired Plumber hereby agree ío be bounden by end
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 agreed by the undersigned that no other uses will be made of the above connections except as hereinalter listed.
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PLUMBING
I HæEBY CERTIFY THAT ALL OF THE PLUMBING IN THIS
MILL-CRAFT HOME, BUILDING NO. Sf? .:? Yc;3
IS IN ACCœDANCE WITH THE STATE OF WISCONSIN
PLUMB ING CODE.
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Signature
Title
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I HæEBY CERTIFY THAT I HAVE INSPECTED THE ABOVE
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NbMBERED JOB AND TO THE BEST OF MY KNOWIEDGE FIND
IT TO BE IN COIIPLIANCE WITH THE ABOVE CODE,
-., byŽ~~~
Title
Subscribed and Sworn to Before Me This
.-2~y of v7/
~a"~~ Notary Public
Wa; pa.oa County, Wi ~nsin
19~
My Commission Expires
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