HomeMy WebLinkAbout1976-Plumbing (sink, basin)
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PLUMBING PERMIT - Oshkosh, Wisconsin Permi! N<;1
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9099
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Plumber
Due
¡ Lot No.
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! Ward
I Addition or Replat
NIIW SEWEI WATER STO"'S FE" FEES RELAY S. SEWER WATER STO"'S FEES
From MaIn to Curb Septic Tanks From Main to Curb
nom Curb to Building Electric Pumps From Curb to Building
Rapair
OUTSIDE WORK
INSIDE WORK
NO.
NEW
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USID
FI"
NO.
NEW
.... I USED
FEES
NO.
NEW
IE'.
USED
FEES
Wuh Basin
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Garbage Dlspooa1s
Catch Basins
BII!b Tub
Dishwashers
Conductors
Wuer CIONt
Sink ~rl:ß / Ie r Y
Laundramals
Grease Cuch Basins
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Wuer Softeners
Sump Pump 8< Ejectors
Wuer Heue..
Sanitary Bubblers
Bar and Soda Wastes
Shower BII!hs
Urinals
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I~e cùier
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noor Drains
Dental Cuspidors
Laundry Tubo
Service Sinks
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City T..,..."
Received Permit and Inspection Fees
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.H..èý...Q.O...Total
Date J>4?#/p ø
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Inspections
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Valuation of the Work Herein Described
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Fee Verified. Receipted and Recorded
In the performance of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to be bounden by and
submit to all statutes, city ordinances, and rules and regulations prescribed by the Boud of Public Works for the government of Plumbors.
It is futher agreed by the undersigned that no other uses will be made of the above connections except as hereinaftar listed.
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