HomeMy WebLinkAbout0008157-Plumbing (water heater)
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NIW SIWER WATER STORMS FEES "ES .E'AY S. 'E",E. WATE. $IORMS "ES
From Main to Curb Septic Tanks From Main 10 Curb
FIoIl1 Curb to BuJIdInø Eleclric Pumps From Curb to Building
Repair ~
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¡ Lot No.
N-
ot
PIIUllbe. ---...
Date
NO.
NIW
Bath Tub
Wash Bum
Waft ClOI8I
SIDk
Water Heat...
.2..
Sho",... B8ilIII
Floor DraIwI
LaIlDc!ry Tuba
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PLUMBING PERMIT - Oshkosh, Wisconsin
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I Ward
Name
of
_00__"""_-- Ow1Ier
Pe.mil N? 8157
Slreet
00---- N~bar ---nn&_ÇJ.---Çv.(¡--nf222~__._&.:.:..
-~I Addilion or Replat
OUTSIDE WORK
iNSIDE WORK
UP. I USED I FlES I NO.
HEW
"P. I U'E.
FEES
NO.
NEW
REP- I USE.
"IS
aubagD DiIpof¡aIs
Ca!Dh Bum.
DIsh",uh....
Conducto..
LauDdram8iR
Gre... Calch Bum.
Wae. SofIen...
Sump Pump &: Ejeclors
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Sanitary Bubble..
Urinala
Bu and Soda Wastes
Denial Cuspido..
Senice Sinks
Valuation of the Wo.k He.ein Described
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$.. ),..tz::T!:::9_~ .---- --------...----..-- -------... ---'-
$--------------.-----------------.--.-...-...----.----
Fee Ve.ilied. Receipted and Recorded
Received Permit and Inspection Fees
.---.----....-......----.-8o",e. Fees
------.;1'-'~---Plbg. Fees
--_.......â-'--~-Tolal
c§),f'- 7.s.~
$....-....----.-..---.----..--.-----...-.---..--........-
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Dale
In the performance of this work the undersigned owner (or hi. authorlred agent) of said preml.e. and his authorized Piumber hereby agree to be bounden by and
submit to all statute., city ordinances, and rule. and regulations pre.cribed by the Board of Public Work. for the government of Plun,ber..
It i. futher Rgreed by the undersigned that no other use. will be made of the above connection. except a. hereinalter Ii.ted.
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