HomeMy WebLinkAbout0009055-Plumbing (laterals)
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PLUMBING PERMIT - Oshkosh, Wisconsin
Nam. ~ p~~. - Name ~ 01 (b
of '. . of. IL- -s{1~ .4....----------
Piumllu --- _._"L_mm- ---------~--______m- Owner ____m_:hhm - mhhmhh _m_____m___~-
I Lot No. I Block I Ward
OUTSIDE WORK
ParmI! N~ 9055
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Dale
l- Addilion or Replat
NIiW SEwn WATER STORMS fEES FEES RELAY S- SEWER WATER STORMS FEES
From MaIn 10 Curb Seplic Tanks From Main 10 Curb
From Curb to BuUcllnll d"(l/ / /'c, ~ Eleclric Pumps From Curb 10 Bunding
Repair
INSIDE WORK
NO.
NEW
USED
fEES
NO,
NEW
REP. I USED
FE'S
NO-
uP,
fEES
NEW
REP-
USED
BathTub
Garbage Dispoll8!8
Catch BasInJ
I------
Wub Buill
Disbwalhers
Conducto..
Water C1œet
Laundramals
~L
Grease Catch BasInJ
Sink
Waler Softeners
Sump Pump II: Ejeclo..
Waler Heale..
Sanllary Bubble..
Bar and Soda Walles
Shower Balbo
Urirlals
F1oDr »rÙIIS
Laundry Tube
Denial Cuspido..
Service Sinks
Valuation of Ihe Work Herein Described
$----~~<2_:_-~---------------------------------------
$
"
Fee Verified. Receipled and Recorded
ReceiY3 P;;,il and Inspection Fe..
-m_mmm:mm_--m-Sewer Fees
:_::::~::~:~::; Fees
Date ¿; -IS-' 7 to
Inspections ------_-_m-Oulside
~=:::::::::::::=::::::=::::::=:::_-_h_--______In.lde
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City T,.."",
In the performance of thi. work the undenigned owner (or hi. euthorized agent) of said premise. and hi. authorized Plumber hereby agree to be bounden by and
submit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It I. futher agreed by the undersigned that no other use. will be made of the above connections except a. hereinafter Ii.ted.
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