HomeMy WebLinkAbout0009960 P
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Name
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Plumber
PLUMBING PERMIT - Oshkosh, Wisconsin Permit N? 9960
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I Lot No. --I BI~Ck 1 Ward I Addition or Replat
OUTSIDE WORK
Data
NBW SlWI8 WATER STORMS FEES flES RELAY S. SEWER WATER STORMS FEES
From Moin to Curb Septic Taaks From Main 10 Curb
....... Curb to BuDding Eleclric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO. NEW REP. USED FlES NO. NEW REP. USED FEES NO. NEW REP. USED FEES
- - - -
Bath Tub Garbage Di8pooalo Catch Basioa
~ - -
Wuh BaslD Di8hwashen Conductors
- -
Water CI_I Laundram&la Gre... Catch Basllll
~
SIIIk Water Softeners Sump Pump III: Ejeclors
Water Heaters / ~,O Sanitary Bubblers Bar and Soda Wasles
Shower Baths Urløai8 F
- e--
nOOl' DralDs Denial Cuspidors -
- -
Laundry Tube Serviea Sinks
IlIIpaeliolll :~ð; f ~ ~_=:r_~ - _::~::_::::_:: Fee Verified. Recelpled and Recorded Received Permit and Inspection Foao
-__-.--_mm----------_____---m -----___--Oullide "-~--G--F-------_Sower F...
.-------____--_m__----------------------.---_-----lIIIlde :It. ---'_m_.__~---------Plbg. Foas
$----------------.----------...----.--------------------------_--___---m-. ---_iL_Q_D.--._---_Tolal
n----___m___-_--------------______m______-------- ------ -- --- -------- --- --- - ¿'r, T"..~;.; -- ------- --------. --------
----------------------E1øal OK $-------------------.------------ ----.-- --'------'--------------'--- Date ,~ ./ '7. 1 Î
In the performance 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 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
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