HomeMy WebLinkAbout0008628 P
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F- MaIn to Curb 1- ,,'S
FiIoID Curb to BuUcllng 1--1
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Dille
WATER
PLUMBING PERMIT - Oshlcosh, Wisconsin P~rmit N~ 8628
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I Block I Ward
I Addition or Replat
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P1umI>eJr --_.__y"--~
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SOWI!II
OUTSIDE WORK
srORMS
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RELAY
S. S'W'R
WATER
STORMS
FEES
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Seplic Tanks
From Main to Curb
Electric Pumpo
From Curb to Building
Repair
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INSIDE WORK
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NO. NEW RIP. US'" "'S NO. ",W REP. USE. FEES NO. NOW R'P. USE. .u.
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Bath Tub Garba¡¡e Dlapoals Catch Buins
Wuh Buin Disbwash..... Conduclora
- - -
WaI"" Clooot LaundramatE Gre.... Catch Buins
SIJIk Water Softeners Sump Pump Ik Ejectors
Wilier Heatera Sanitary Bubblers Bar and Soda Wastes
Sbo..."" Baths Urinals
F1oo1' DrIllDa Dental Cuspidors
Laundry Tubo Service Sinks
IlUIpections Valuation of the Work Herein Des""ibed Fee Verified. Receipted and Recorded Received Permit and IlUIpaction Fees
-----.-------- _db_' ---Outside /O..-d -"__'__h___--_-----Se...er Fees
$h_.____tL_--.:-----------.-------------------.-------- _--.._L.~_plbg. Fees
---------.---.---------Inside
--.----------- $-----------.---------------....--------------- --------L-~-Tota1
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--- -----Final OK $----- -- -. --- -------------- --- --- --- Date /¿).,,2 /. 7..5 ~
In the performence of this work the undersigned owner (or his authorized egent) of said premls.s and his authorized Plumber hereby agree to be bounden by end
submit to all statutes. city ordinances, and rul.. and rogulatlons proscribed by the Board of Public Works for the government of Plumbers.
It Is futher agreed by the undersigned that no other uses will be made of the above connections except as herein.lt.r listed.
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--eJ-----~¡¡;;¡;-., f p"m~" or h.. authoR'" ~ ..,
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