HomeMy WebLinkAbout0009979-Plumbing (bathroom fixtures)
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PLUMBING PERMIT - Oshkosh, Wisconsin
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I Block I Wa.d
l Lo.I Ho.
Date
OUTSIDE WORK
Permit N? 9979
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l Addition or Replat
NEW $lWEI WATER STORMS fUS FEES RELAY S- SEWER WATER STORMS fEES
From MaIn to Curb Seplic Tanks From Main 10 Curb
""'m Curb to BuDding Eleclric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO.
NEW
UP-
USID
NO-
NEW
REP- I USED
RES
Bath Tub
Garbage DlApooa1a
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WuhBuiD
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l
DlAhwuhen
Laundramats
Wa!8r CIOlOt
SIDk
Wate. Softeners
Wa!8. Heaters
Sanitary Bubblers
Show. Baths
/
Urinals
t601
Floor Dro1Ds
Denial Cuspidors
Loundry Tube
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Service Sinks
Fee Verified. Receipled and Recorded
Valualion of Ihe Work Herein Described
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FEES
"0-
NEW
REP-
US'D
FEES
Caleb Buinl
Conduclors
Gre... Catch Bulna
f--
Sump Pump" Ejectors
Bar and Seda Wasles
Received Permit and Inspection Fees
-----------------------Sewer Feea
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Dale
In the performance of thi. work the undersigned owner (or hi. authorized agent) of said premises and his authorized Plumber hereby agree to be bounden by and
submit to all statutes, city ordinences, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It I. futher agreed by the undersigned that no other uses will be made of the above connections except as Jté@r".,ter listed.
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