HomeMy WebLinkAbout0009471- Plumbing (Interior)
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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 9471
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I Block __I Ward
I Lot Ho.
I Addilion or Replal
Dale
OUTSIDE WORK
NIW SEwn WATER STORMS fEES fEES RElAY S. SEWER WATER STORMS fEES
From MaIn 10 Curb Septic Tanks From Main 10 Curb
From Curb 10 BuUdlnsr Electric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO.
NEW
..,.
NO.
NEW
FEES
NEW
fEES
REP.
USED
REP. I USED
rlO.
USED
RES
BathTub
Garbage DbopoA1s
Catch Bas1ne
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Wuh Basin
Dishwashers
Conductors
Waler ClORet
Laundramaltl
1/
v~
I -" R
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Gre... Calch Bas1ne
Sink
Waler Softeners
Sump Pump" Ejeclors
,/
Water Healers
Sanitary Bubblers
Bar and Soda Walles
Shower Baths
Urlnabo
js"7..ct(
Cr, "1/.ø-"LZ<~
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Floor Dralu
/
Dental Cuspidors
v~
Laundry Tubs
Senica Sinks
Inspections Valuation of Ihe Work Herein Described Fee Verified. Receipled and Recorded Received Permit and Inspection Fees
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In the performance of thi. work the undersigned owner (or hi. authorized agent) of said premise. and hi. authorized Plumber hereby agrae to be bounden by and
submit to all .tatutes. city ordinance.. 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 herelnalter listed.
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Plumla.
STATE OF __~~_lIj,sJ;:Qp.-~!1}_u_---------
PLUMBING CODE
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I S.O. # ____m2~_~~_~-_m~--1
CERTIFICATE OF COMPLIANCE WITH-
I hereby certify that all of the plumbing in bath core serial no. ___--4;;}.?___------
Weston
installed within a ~Home is in accordance with the State of ---}lj._s_c_o_n_sJ-_IL___-
Plumbing Code. Also, that the drainage and vent piping has been tested with 20 pounds
J¡;
air pressure for a period of ~ hour. The water supply piping has been tested with 100
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pounds of air pressure for a period of XX hour.
This work has been done under the direct supervision of -____ß",l§!g!Lg.!-_J:f~g~!:_,
-------------------------- licensed master plumber, licençe no. Wis. 2699 - Minn.
1951 - Burlington, Iowa 196 - Ottumwa, Iowa 36 - Mason City, Iowa 5422,
date -____J!.!ly_l.._l21p_____-------_o
SUBSCRIBED AND SWORN TO BEFORE ME THIS
-hE -. ~f~ ,.-zit
-11ltLLI_clß{J NOTARY PUBLIC
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TITLE
WITNESSED BY:
My COMMIS.SION EXPIRES 8-22, 1976
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RALEIGH FISHER. MASTER
PLUMBER #2699
STATE OF WISCONSIN