HomeMy WebLinkAbout0008639 P
Dale
PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 8639
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PI~ ~c~~I..~L_____- ~er :~~--- _-/Þ!L"""'~1--___~_oo'___- N~ber _ood:3._3.3__OO'---'~-!<_~-L.s:::y \
Lot No. I Block ti I Wa.d I Addiiion o. Replat
OUTSIDE WORK
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NEW SEWER WATI. STORMS fEES FEES .EIAY S. SEW'. WATI. STORMS FilS
From Main to Curb Seplic Tanks From Main 10 Curb
From Curb 10 BuDding "iF (/. J/'C ~ Eleclric Pumps From Curb 10 BuUcling
Repair
INSIDE WORK
NO.
NEW
RIP. I USED I ..05 I NO.
NE.,
"P. I USED
"'5
NO.
NIW
.IP. I USED
"IS
Bùb Tub
Garbage DiopoEa!s
CII!ch B...ins
Wuh BulB
Dish......h....
Conductors
Will... CI_t
LaulUh'lI\mUR
-,-
Grease Catch BulBs
Bluk
Wilier Soften...s
Sump Pump a. Ejectors
Water HeIIIe...
Bilow.. BUbs
sanUary Bubblors
UrlullJs
Bar and Soda Wasles
Floor Dreluo
Denial Cuspido...
Laundry Tubs
Service Sinks
)
IlJIIP8Ctions
-------..---------..- Outside
---------------.-..-Inside
---7/iLQs:._~=-- --;~ OK
Valuation of the Work Herein Described
$~':_..~--_.------_.._-------_.._..-
$"-""""'-"--"---"""-"__0000___"__-----------
$___"__00--"""_-"----00---_"_"_00___--"-------00---_--
Fee Verified. Receipted and Recorded
Received Permit and Inspection Fees
----~..~-:::-'~-Sewer Fees
-------¿~q:Q..-P1IIg. Fees
----¥-£:1l..Tofal
Dille L6. 02 ? 7..s~
-------"---OO--"'---ëi;Ÿ-Ÿ;m;;;,--------"-----"--
In thlt ""rformanc.. ot this work th.. undarsign..d owner (or hi. authorired egont) of said premi..s and his authorizoo<l Plumber hereby agre.. to be bounden by and
submit to all statutes, city ordinences, and rules and regulations prescribed by the Board of Pubiic Works for tho govornment of Plumbers.
It Is futher agreoo<l by the und..rslgnoo<l that no other uses will be mad. of th.. above connections oxcepl os hereinafter Ii.tood.
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