HomeMy WebLinkAbout0008617 P
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-J.j ¥)ce¡ PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 8617
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I Lot NO" I Block I Ward I Addition or Replat
OUTSIDE WORK
Dale
NEW .IW.. WAY" SYORMS FEES FEES '"'AV S. .IWI. WAlE. STORM' fEI'
F- Main 10 Curb Seplic Tanks From Main 10 Curb
1'10", Curb 10 Building Electric Pumps From Curb 10 Bulldmg
Repair
INSIDE WORK
NO. NEW RIP. USED FI'S NO. NEW 'EP. U". "ES NO. NIW .IP. USID '""S
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Bath Tub I I-¡<J Garbage DiJposaIs C- B""ins
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Wub Basin / ). ¡--d Ditbwuhen Conductors
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Wilt- CIOI8t / IN Laundr- / ).tHY Gre.... Caieh BIIII1Ds
SInIc / )H/ Water Softeners Sump Pump 8< Ejectors I jtJ-r)
Waler H.at... / !I HJ Sanilary Bubblers Bar and Soda Wules
IIhow,", .Baths Urinals
Floor Dralna / !/ pf Dental Cuspidors
Laundry Tubs Serviea Sinks
Inspoctlons ~ Valuation of the Work Herein Described Fee Verified. Receipted and Recorded Received Permit and Inspoctlon Fees
-___....,f!Lis::. þ-¿Outside $ ---_/..zL2..â~--~------- ----------------- ---------:;:;::r_Sewer Fees
--------J.j;);o/)~___.J.nside $-..-..-----.-------------------------------- -_:fL-H'PIbg, Fees
=-/ï/~ß~ ---------------------CI¡YT~';;'~;;;----------------- ----_...&:_--.---Total
$-------------------.-------------- Date 10- c;r. 7.5~
In the performance of this work the undersigned owner (or his euthori.ed agent) of said premises and his authori.ad Plumber hereby agree to be bounden by and
submit to all statutes, clly ordinances, and rul.. and regulation. prescribed by tbe Board of Public Works for the government of Plumbers.
It Is futher agreed by tbe undersigned that no other use. will be made 01 the above connections except as hereinafter iisted.
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Plumbing Inape<tor.,þ.ß.
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