HomeMy WebLinkAbout0009118-Plumbing (interior)
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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N'? 9118
Name Street
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Dat.
l Lot No.
t- Block J Ward
I Addition or Replat
OUTSIDE WORK
NIW slwn WATER STORMS .IES FEES RELAY S. SEWER WATER STORMS FEES
From MaIn to Curb Septic Tanks From Main to Curb
From Curb to Bulldlng Electric Pumpe From Curb to Building
Repair
INSIDE WORK
110.
RIP.
FEES
NEW
USED
FlES
NO.
NEW
REP. I USEO
FE"
"O.
"EW
REP.
USED
Bath Tub
I
Catch BulDs
Garbage DÙlpoIDls
Wub Buln
DÙlhwuhen
Conductors
Water CIONt
Laundr-
Gr.... Catch BulDs
SIDIo:
I
I
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Water Softeners
Sump Pump II< Ejectors
J
Water Heaters
sanUary Bubblers
Bar and Soda Wastes
Shower Baths
Urinals
noor Dra1na
Dental Cuspidors
Launc\rJ' Tubo
IJlllpoctiiTfP -...----------Ouilide
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Service Sinks
Valuation of the Work Herein Described
Fee Verified. Receipted and Recorded
Received Permit and Inspection Fees
----------------------------Sewer F...
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-----_tP_-,--~o:.----.Total
Date :) (3¡ ! 7 b
$______l_y"_O_O--,-QQ--------------------------------.---.
$
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City T....u..,
In the performance of thi. work the underoigned owner (or his authorized agent) of said premises and hi. authorired Plumber hereby agree to be bounden by and
submit to ell .tatutes, city ordinances, and rules and regulations prescribed by the Board of Public Work. for the government of Plumbe...
It Is futher agreed by the unde..lgned that no other use. will be mede of the above connections except e. hereinafter Ii.led.
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PlumbIng In,pe<."
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