HomeMy WebLinkAbout0008951-Plumbing (lav & toilet)
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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 8951
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Date I Lot No. ' I Block ¡ F':.-,' I Ward I Addilion or Replst
OU¡rSi¡)E WORK
NIW SEWEll WATEII STORMS FEES 'EES RElAY s. S'WER WATER STORMS FEES
From Main to Curb Septic Tanks From Mni.. to Curb
FIom Cub SO DuUdIDg Eleclric Pumps F.om Curb 10 BuildIDl!
Repnir
INSIDE WORK
NO. NEW UP. USEO ~ NO. NEW R'P. USE. "'S "0. NEW REP. USED FUs
-- - - ~
Batb Tub Gubage Dilpoeala Caich Bum.
-- I--
Wuh Buin I ' /,...0 Dilbwashen - eo"duclor.
- ~ -
Water CI_t / ,,-;d Laundr- Greue Catch BuÙUI
S1IIk Water Softe...rs Sump Pump .. Eîeclors
WaterHeaten Saniluy Bubbler. Bu and Soda Wast..
llhowu BatIu Urinals
nc.o., Drlllwl D...1aI Cuspidors
LaUDdry Tubs Service 8mb
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¡Dlpec:IioDl Valuation of ~Work Herein Described Fee Verified, Receipled and, Recorded Received Permit and ¡Dlpeclio.. Feea
-------.._..---Oullide $~~~:--_..._.._._._.__.._-_.._......_-_.._", .-...-..-...--------...Sewer Fees
-....------.....-.----.-wide -----Q[:.:'..~-'pIbg. Fee.
$...-....-..---...---...--.--.-.------------------..- .._.....óL:~"!.....Total
---?~=- --';ÙUII 0; $.--...--.......---.....-.-------..----....-----...--- """-"'--------"'-ëïtŸ"i;ô-;-wre;---""---'-"'-- Dale j-/& -J 6
In the performance of this work the undersigned owner (or hi. authorized agent) of..j~J,~~niis~. and his authorized "iumber hereby agree to be bounden by end
submit to all statutes, city ordinances, and rules and regulation. prescribed by~e Goard of Pulilic'¡Work. for the government of Plumbers.
It is futher agreed by the undersigned that no oth"ruses will be made of the above connections except a. hereinalter listed.
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