HomeMy WebLinkAbout0009501-Plumbing (water heater)
PLUMBING PERMIT - Oshkosh, Wisconsin per~ N~Ol
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I Lot No. I Block I Ward I Addition or Replat
OUTSIDE WORK
.....~
Date
Naw SEWD WAT" STORMS fEES fEES RELAY S. SEWER WATER STORMS fEES
From MaIn to Curb . Septic Tanks From Main to Curb
J'Jom Cub to BuDding Eleclrlc Pumps From Cub to Building
Repair
)
INSIDE WORK
USEO
fEES
NEW
REP.
NO.
fEES
REP. I USED
NEW
FI..
NO.
REP.
USED
Naw
NO.
Catch Basills
Garbage DispoIaIo
BathTub
I----
Conduclors
Dishwashers
Wash BaslD
Grease Catch BasÙUI
Laundramats
Wat,", CIONt
f--
Sump Pump Ik Ejectors
Water Softeners
Sink
Bar and Soda Waste.
1/.6"Ú'
I
Sanitary Bubblers
Water Heaters
Urinals
Show,", Baths
Denial Cuspidors
Floor Dr8lna
Service SIDks
Le\U1dry Tubs
Received Permit and Inspecllon Fees
.---------.......-----------Sewer F...
...---/--~.~--..PIbg. F..s
......--.I.:.--~..--Tolal
Dale ~ð.76
Fee Verified. Receipled and Recorded
ValuatIon of Ihe Work HerelD Descrihed
Jd () . ¡r()
$.-----..------......-------------..--...--------..---..----------..-------
e
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---------------------------.--------------------------------------------
--------------..----.-..---------..-----------.------
City T,.."",
$-----------------------..-------------------------..--------------..------
----.---....---.-.--.....FiDal OK
In the performlnce of this work the undersigned owner (or hi. euthorbed Igent) of .aid premi.e. and hi. authorbed Plumber hereby Igree to be bounden by end
submit to III statute., city ordinlnc.., and rule. Ind regulations prescribed by the Board of Public Works for the government of Plumbers.
It i. futher Igreed by the undersigned thlt no other use. will be made of the Ibove connections excep
..en.
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