HomeMy WebLinkAbout0009068 P
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Name
of
Plumber
PLUMBING PERMIT - Oshkosh, Wisconsin Permil N<.? 9068
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I Lot No. ~ I Block V I Ward I Addition or Replat
OUTSIDE WORK
Date
NIW ,Ewn WATER ,TORMs FEES FEE' .ElAY ,. SEWE' WATER STORMs FEES
From MaIn 10 Curb Seplic Tanks From Mein 10 Curb
From Curb 10 Building Electric Pumps From Curb 10 BuUdh1g
Repair
INSIDE WORK
MO.
NEW
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NO.
NEW
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NEW
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U$lo
'E.. I USEO
FEEs
UsED
"ES
Bath Tub
Garbage Diapooa]a
Dlshwuhen
Catch Bulns
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Wuh BulD
Conducto..
Water Cl_1
LaundramalJo
Greue Catch Bulns
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Sink: c fI -il-
Waler Softene..
Sump Pump" Ejeclo..
Wa1er Heate..
L
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sanUary Bubble..
Bar and Soda Wules
ShowerBaIhI
Urinals
Floor Dr"'"
Dental Cuspido..
Leundry Tube
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Service SlDb
Fee Verified, Receipted and Recorded
Received Permil and Inspection Fe..
uou.~.~~u~oooumuoooooSewer Fees
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Valualion of the Work HerelD Described
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City T,....,",
Date
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In the performlnce of this work the undersigned owner (or his authorized agent) of said premises Ind his authorized Plumber hereby agree to be bounden by and
submit to all statutes, city ordinances, Ind rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It Is futher agreed by the undersigned thlt no other uses will be made of the above connections except as hereinafter listed.
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