HomeMy WebLinkAbout0000331-Plumbing (interior)
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Name
of
Plumber
PLUMBING PERMIT - Oshkosh, Wisconsin Permll N? 331
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I Lot 11'0. '1 Block I Ward I Addilion or Replat
OUTSIDE WORK
Dllie
NEW SEwn WATE. STORMS FEES FEES .ELAY S. SEWE. WATE. STORMS FEES
From MaIn to CUl'b Sepllc Tanks From MaID 10 Curb
From CUl'b to BuDding Eleolrlc Pumps From CUl'b 10 Building
Repair
INSIDE WORK
NO. NEW "P. USED FlES NO. NEW .EP. USED FEES NO. NEW .EP. USED FEES
- ~ - -
_Tub Garbage Dilponk Catc:h Basllls
Wub Basin / lilt) Dishwashers Conduclors
¡---- - - - -
WlliN CI_t / '/!:- LaundnmaD Gre... Cllich Basllls
Sink Wilier Softeners Sump Pump" Ejeolors
WIIiu Helliers Sanitary Bubbler. Bar and Soda Wasle.
ShoWN B8ihs / V~ Urinals
1-
Floor Dralm Denial Cuspidors 1,-
LaUÌldry Tubs SeJ:Tioe Sinks I
I...pedions Valualion of Ihe Work Herein Described Fee Verified. Receipled and Recorded Received Permit and Inspeolion Fees
--.......-....---..........-....--._.........Oulside $... ......<kOC2.c.fQQ.-..-..-..............- ............................Sewer Fees
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$...........................................-...........................-- D~~."'s7i)ø 7
$..................................................-..................-.- """""""""""""ë.l.ïT;;;;~;;;.""""""..""".""
In the performance of this work the undersigned owner (or his authorired agent) of said premises and his authorired Plumber hereby agrae to ba 6oundan by, and
submit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for e government. of Plumbers.
It Is futher agreed by the undersigned that no other uses will ba mede of the above connections exce as Inafter listed.
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