HomeMy WebLinkAbout0009125-Plumbing (fixtures)
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PLUMBING PERMIT - Oshkosh, Wisconsin
N~
9125
Perm!!
ø.....
of
Plumber
Name
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OUTSIDE WORK
Slreet
N:~ber ...........l.3.:2:c$;......~àTL-f£bY.~'},L
I Adc:lition or Replat
Date
N5W SEWD WATD STORMS 'EES 'EES RELAY S. SEWER WATER STORMS fEES
From MaIn to Curb Seplic Tanks From Main to Curb
From Curb to BuDding Eleclric Pumps From Curb to Building
Repair
INSIDE WORK
NO.
NEW
u,.
NEW
NO.
fEES
..,. I USED
FEES
NEW
RE,.
USED
USED
FlES
NO.
Batb Tub
I
1-
~
J
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Sanitary Bubblers
Bar and Soda Wastes
f--
Garbage DII~
Catch Basins
W8Ih BaslD
DlIhwashers
Conductors
I
Gre... Catch Basins
Laundramai8
Water CI_t
f--
Sink
Water Softeners
Sump Pump 8< Ejectors
/
Wetor.Heaten
Shower Bathl
UriDaie
Floor DraiDs
I
Dental Cuspidors
Laundry Tubo
L
II
Service SIDks
laspec:tions
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Valualion of the Work HerelD Descrihed
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S.
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C;tv T,."""
Fee Verified. Receipled and Recorded
Received Perm!! and Inspeclion Feel
'...... ...........Sewer F...
..L(LY:9.....Plbg, F...
..lÚ.c,/!:)........Total
Date J.l3d7h
..
........."'..',.,........................................
In the performanca of thi. work Ihe undarsigned owner (or his authorized agent) of said premises and his authorired Plumber hereby agree to be bound.n by and
lubmlt to all .tatutes. city ordinances. and rules and regulations prescribed by the Board of Public Works for the governmenl of Plumbers.
I! II futher agreed by the undersigned that no other uses will b. made of the above connections except as hereinafter listed.
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