HomeMy WebLinkAbout0008290-Plumbing
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PLUMlm~~, PERMIT - Oshkosh, Wisconsin Permit N(: 8290
q., ø --1+ N ~ If I ~ Street ~ /' .4./ .
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I_Lot No. I Block I Ward lddi!IO_n_Or Replst
Data
OUTSIDE WORK
Haw SEWEI WATEI STORMS FEES "'S R"AY S- SEWER WATER STORMS FEES
From MaiD 10 Curb Seplic Tanks From Main 10 Curb
!'10m Curb to Building Electric Pumpa From Curb 10 Building
Repair
INSIDE WORK
NO. HEW UP- USED FEES NO. HEW REP. USED FEES NO- NEW REP. USED fEES
-
Batb Tub Garbage DlapoaalJo Catch Basins
Wuh Buin Dlabwaahora Conducto..
Water Clolat Laundramall! 7 V. Gre... Catch Bas""
SIzIIc Water Softene.. Sump Pump 8t Ejeclo.. I /. <Jt
Water Heaters 7 /¡()ð SlUÙIary Bubble.. Bar and Soda Wastes
Shower Baths Urinals
FlOCI' Dr" / J;tJð Denial Cuspidors
LaW1dry Tubs Seniee Sinks
IlIBpeetlolIB Va~ion of the Work Herein Described Fee Verified. Receipled and Recorded Received Permit and IlIBpecllon Fees
--------------------Outside $-------_ç;:':;::'.Q_d2£L_--____---------------- ---1----------3---_5&wer Fees
----------------------lIISlcle ~.a_-_PIbg. Fees
------------ $-------------------------------------------------- --- --$-<7E---~laI./
------------------FinaI OK $----------------------------------------------- -------------.---------cliÿ-ÿ;ë;i~;.;----------------------- Date 3~ ?; 1) S
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In th.. performlnce of this work the undlrsigned owner (or his authorired Igent) of said premise. and hi, authorized Plumber hereby Igree to b. bounden by and
submit to III statutls. city ordinances. Ind rules Ind regulations prescribe" by tho Board of Public Works for the government of Plumbers.
It Is futher Igreed by the undersigned tha' no other uses will be made of the above .onneetions ex.ept as hereinafter listed.
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Plumbing Ino_,
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PLUMBING
I HEREBY CERTIFY THAT ALL OF THE PLUMBING IN THIS
MILL-CRAFT HOME, BUILDING NO, !/ ß - ;;¡ 0 c¡ r
IS IN ACCORDANCE WITH THE STATE OF WISCONSIN
PLUMBING CODE.
r- ¡ - 7 S
Date: :> - (p
DJA-fl-:;;Þ
Signature
Title
I HEREBY CERTIFY THAT I HAVE INSPECTED THE ABOVE
NUMBERED JOB AND TO THE BEST OF MY KNOWLEDGE FIND
IT TO BE IN COMPLIANCE WITH THE ABOVE CODE.
Inspected by:
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Title
Subscribed and sworn to before me this
b 4-Day of ~ ?~
~~~...---' ~Notary
upaca County,.W' .o"sir"""
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