HomeMy WebLinkAbout0008495-Plumbing (repair sewer lateral)
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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N? 8495
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Lot Ho. Block Ward Addilion or Replat
OUTSIDE WORK
Date
-
NEW SEWIII WATER STORMS fEES fEES RELAY S. SEW" WATER STORMS fEES
From MaIn to Cub Septic Tanks From Main to Curb
nom CURb io Bundln" Eleclzic Pump" From Curb to Building
Repair ~ / ó-c)
INSIDE WORK
NO- NEW REP- USED fEES NO. NEW R'P- USED FEES NO. NEW REP- USED FE'S
-
Batb Tub Garbage Dhlpooals Catch Bow
Wuh Buin Dlshwuhen Conductors
1- - -
Watw CI_t Laundrama!l Grease Catch Blllw
SiDle Water Softeners Sump Pump 8< Ejeclors
W- Heaters Sanitary Bubblers Bar and Soda Wasles
ShowwBaths Urinals
Flow Dralaa Dental Cuspidors
Lauadry TubE Service Sinks
I""poetIo"" Valuation of the Work Herein Described Fee Verified. Receipled and Recorded Received Permit and Inspection Fees
---.--.------_._-OutBlde $__.L{!..z_~....._.__...._------_._--- .._-------------------Sower Fees
--...-----.---.------------Inside ~~=:~~~~:: Fees
-----?;¿ð-/~-~-;;; $---.--------..--.----.----------.---.---.---.---.---
$ ---- ---_...._---_._---cl¡:¡T;;,~.~;ë;- ------------._- Date 7?;¿e2 7...5-
----- -- --_.---- -------.-------. --- ---
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In the performance of this work the undersigned owner (or his euthori.ad agent) of .aid premi.e. end hi. authorl.ed Piumber hereby agree to be bounden by and
submit to all .tatute., city ordinances, and rules and regulations prescribed by the Bo..-d of Public Works for the government of Plumbers.
It is futher agreed by the undersigned that no other uses will be made of the abovo connections excopt as hereinafter listed.
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