HomeMy WebLinkAbout0009679-Plumbing (water heater/floor drain)
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PLUMBING PERMIT - Oshkosh, Wisconsin Permil N<: 9679
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I Addition or Replal
Dale
OUTSIDE WORK
NBW SEWEI WATER STORMS fEES 'EES RELAY S. SEWER WATER STORMS fEES
From M8iD 10 Curb Seplic Tanks From Main 10 Curb
hom Curb 10 Building Electric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO.
NEW
..,.
"ES
NEW
RE'. I USED
"0.
FE..
NEW
....
USED
FEES
USED
NO.
JIaih Tub
Garbage DilpoAis
Catch Bulrul
Wub BuiD
Dilhwuhen
Conduclo"
Wu.. Cl_t
Laundramala
I
I--
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fA
Greue Catch Buinll
Sink
Waler Softene..
Sump Pump 81: Ejecta..
1/
Wu.. Heaten
L
Sanüary Bubble..
UriDala
Bar and Soda Wules
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Show.. Baths
Floor Dzainll
7
Denial Cuspidon
[l,CH
Laundry Tub8
Service Sinks
IuspeciiolUl Jaluation of Ihe Work Herein Described Fee Verified. Receipted and Recorded Received Permit and Inspecllon Fees
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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 Board of Public Works for the government of Plumbers.
It Is luther agreod by the undersigned thet no other uses will be mode of the above connections except as he.
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PlumbIng In.pod<>'
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CERTIFICATE OF
. COMPLIANCE W
CITY OR STATE OF ITH
----!ilS.QQN.SIN / 'J 3
PLUMBING CODE ---------t-- S
,0, # _--29£.1.2-___-----
I~~ 'f -
terti '1 that II f
within a W a 0 the plumbing in h
ausau H " ouse no
Pl. . om. " on «"""",. . __1162001"'12 .
mbtng Code. Also th h ce with the City and/ S ------ Installed
, ' at t ed' or tate Of W
= Þ",mre 1m' '"""" "'" ,m'" . ----""'",,
a perIod Of 1/ h r,ptng has be ---
pound f 72 our Th en tested with 2
s 0 air pressure f " e water supply pipi h 0 pounds
Th' ~'P<~d <>f V h ng ~ b_' d
" ~.k '"' "'" n =.. ~" .;,h 100
-- done under the d'
-------- Ireet super' ,
----------' vISIon Of RAL
1951 -' -_u- ¡.,..,.¡ . ------"",--
Burlmgton I master plumb I' --- -_J,-~J!)';_R
J ' ,..196 0 ", .- = W' '
," - "'"" 7 - aam.' I . u, 2699 M'
--- _~_m'- ' 0", 36 ' M ' ,,~
-------- ason Ctt I
-_-__--0 '1, owa 5422
,
bSUBSCRlBED AND SWORN TO
. BEFORE ME THIS
____1 DAY
. .~ ".10
M Co OTARY PuBUC
Y MMISSI
ON EXPIRES 8.22, 1976
FORM NO, 4307... M,P,
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TITLE -----------------------------------
WITNESSED BY:
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PLUMBER #2699 MASTER -------------
STATE OP W
ISCONSIN