HomeMy WebLinkAbout0009568-Plumbing (water meter)
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PLUMBING PERMIT - Oshkosh, Wisconsin
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of
Plumbe~
N<¡ 9568
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I Lot No. I Block I Ward I Addition or Replat
Permit
Due
OUTSIDE WORK
NIW SEwn WATER sTORM' FEES FEES RELAY S- SEWER WATER STORMS lEE.
From MaIn to Curb Septic Tank. From Main to Curb
~m Curb 10 Building Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO.
NEW
REP.
NEW
'E'S
'EE'
NO.
NEW
REP-
USED
REP. I USED
USID
RES
NO.
Ba1b Tub
Garbage Dilpolala
Ca1ch Basins
f--
Wub Basin
Dllbwashen
Conducto..
Wu." CIONt
Laundramais
Greue Cuch Basins
Sink
Wafer Softene..
Sump Pump" Ejecto..
Wa1e~ Heuen
Sanitary Bubble..
Bar and Soda Wastes
Shower Ba1Iss
Urlnall
14/ dj¡:L ~
I
/,èjJ
Floor Dralu
Dental Cuspidon
La\IJI.dry Tubo
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Serric:e Sinks
Fee Verified. Receipted and Recorded
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Received Pe~mil and Inspection Fe..
--------------------.._..---Sewe~ Fees
-------k-a.Ö----plbg. Fees
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In the performance of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to be bounden by and
submit to all statutes. city ordinances. and rules and regulations prescribed by the 8o.srd of Public Works for the government of Plumbers.
it I, futher agreed by tho undersigned that no other uses will be made of the above connections except as herein.nar listed.
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Plumbln. In,ped<>' --------