HomeMy WebLinkAbout0009166-Plumbing (laterals)
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PLUMBING PERMIT - Oshkosh, Wisconsin
~ Name ~~. SIrHt
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--_---0._- --------- -------.------------------.---..._.._m.---- Owner ------- - -- ... '----------.-..----------.----...----------------.---- Number -
I Lot No. I Block I Ward I Addition or Replat
OUTSIDE WORK
Permit N<.? 9166
.----/i.2C2.-----.V~~h/i-:
Date
NEW SEWn WAUR STORMS FEES FEES RILAY S. SEWER WAUR STORMS FEES
From Main to Curb Septic Tanks From Main to Curb
""'m Curb to BuDding I$'-.v (7'1" 1¡/(I~lJ Wf:ro Electric Pumps From Curb to Building -
Repair
INSIDE WORK
NO.
NEW
RI,.
NO.
REP. I USED
FEES
FEES
NO.
NEW
NEW
REP.
USED
USED
FIE'
Bath Tub
Garbage Diapoll8ls
Catch Buhu
Wub Basin
Dishwashers
Conducto..
-,-
Wator Clooet
Laundr-
Grease Catch Basins
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Sink
Water Softene..
Sump Pump" Ejecto..
Water Heate..
S&nÜary Bubblers
Bar and Soda Wastes
Show.. Bathl
Urinals
Floor DraIDa
Dental Cuspido..
Laundry Tubo
ServIce Sinks
~?~~~=::=::::=~~::::::::::=::::::o;.::;:
Valuation of the Work Herein Described
f;{Qá.____o..fL____--------------.----------------.------
Fee Verified. Receipted and Recorded
Received Permit and Inspection Fe..
..J,o..ò..----.----Sewer Fees
4'~::;:::::::::::~: Fee.
Date ~ A;;2_/) &
e
---_____m_.m--------------------------'-------
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--..-------------.----1'1naI OK
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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 01 Plumbers.
It Is futher agreed by the undersigned that no other uses will be mede 01 the above connections except as hereinalter listed.
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