HomeMy WebLinkAbout0008139-Plumbing (storm lateral)
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PLUMBING PERMIT - Oshkosh, Wisconsin Permit Nr: 8139
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l Lot Ho. --I Block I Ward Addltlol\ or Replat
OUTSIDE WORK
DIII8
NEW SEWER WATER STORMS FEES 'EES RELAY S. sEIVER WATER STORMS FiES
From MaiD to Curb 1- yk/ -tlf: ()!; Septic Tanks Fl'Om Main ta Curb
~m Curb to BuUcIlnsr Electric Pumps Fram Curb ta Building
Repair
NO.
NEW I UP. I usm I .." I NO.
NEW
REP. I USED
'E"
NO-
i
INSIDE WORK
NEW
REP. I USED
FEES
Bath Tub
Wuh BuIll
Garbage DiapooaJa
Catch Basins
Diabwash...
Canducl.ro
Wuer Cl"""t
LaundremaIR
Gre.... Catch Basins
SInk
Wuer SofIene..
Sump Pump 11< Ejeclors
Waler Heue..
Sanitary Bubble..
Urinals
Bar and Soda Wasles
Shawœ Bath.
n- DraIns
Lsundry Tubs
Dental Cuspidors
Servlos Sinks
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V1.ulan of the Work Herein Described
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Fee VerUied. Receipled and Recorded
Rec,iv" Permit and Inspeclion Fe..
-t!:~,"'Lô._Q____-_Sewer Fees
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Due J/?/7r
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In the performance of this work the undersigned owner (or his autharized agent) af s.id premises and his authorized Plumber hereby agree ta be bounden by and
submit to all statutes, city ordinances. and rulas and regulations prescribed by the Board of Public Works for the government af Plumbers.
It is futher agreed by the undersigned that no other uses will be made afthe above connections except as he.einafter noted.
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- Plumbing Ins.....r
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