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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 1437 i
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I Block I Ward
I Lot No.
I Addition or Replat
Date
OUTSIDE WORK
Naw SEwn WATER STORMS FE" FEES RELAY S, SEWER WATER STORMS FEES
From MaIn to Curb Seplic Tanks From Main to Curb
~m Curb 10 Building Electric Pumps From Curb to Building -
~
Repair
INSIDE WORK
NO.
Naw
UP,
NEW
REP. I USED
..O.!
fEES
FEES
NEW
REP.
USED
USED
fI"
NO,
ø..
g
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L
1
,./
12. ~
Catch BuIDs
Garbage DiIpoAIs
Dlshwuhen
Conductors
Bath Tub
2,~
Wash Buin
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Ir
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Greue Catch BuiDa
Laundrama.itl
Watu CIOI8t
I
Sump Pump lIE Ejectors
,./
Sink
v
Water Softenerl
V'
Sanitary Bubblers
Bar and Soda Wutes
Water Heate..
Showu Baths
Urinals
I
./
Dental Culpldo..
1/
Floor DoaIDa
Laundry Tube
Service Sinks
IDlpedlons Valualion of the Work Herain Described Fee Verified. Receipted and Recorded Received Permit and Inspactlon Fees
~~~~~ :"';~~~=====- -,.,~=-- ~~~~::
In the performance of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to be boundan by and
lubmit to all statutes. city ordinances. and rules and regulations prescribed by the Boord of Public Works for the government of Plumbers.
It Is futher agreed by the u!1,dorsigned that no other uses will be made of the above connections except as hereinafter listed.
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PLUMBING PERMIT - Oshkosh, Wisconsin
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I Lot No. I Block I Ward I Addition or Replal
OUTSIDE WORK
Dale
NEW SEWD WATE' STORMS FEES FEES 'E'AY S, SEWE. WATE' STO'MS fEES
From MaIn 10 Curb Septic Tanks From Main 10 Curb
!'rom Curb 10 BuDding i.-/ i..-/ <.h'ø Electric Pumps From Curb 10 Building
Repm
INSIDE WORK
NO.
UP.
"ES
NEW
USED
"ES
NO.
NEW
'EP. I USED
"ES
NO,
NEW
'EP. I USED
Bath Tub
Garbage DÙlposa1s
Catch Bulns
Wub Buin
DÙlhwuhers
Conducloro
Wale Cl_1
Laundremall
Grease Calch Buins
SIDk
Wale~ Softenero
Sump Pump &: Ejectoro
W8Ie~ Heale..
Sanitary Bubblero
Bar and Soda Wasles
Showar Baths
Urinals
Floœ Dralu
LaundRy Tubs
Denial Cuspido..
Service Sinks
~:~:::_m_'m___----_--,-_____Oulâde ::;;;;;--~:--=:~:i:_::~=-=: Fee VerUled. Receipled and Recorded R~:i*~:;Q~,:.n;e:ns;::'lIon Feet
~::::=~~i:;;Þ~~~~ ::::::::::::::::::::::::-::::::::::::::::~::::::::-~:~:::::::::::~::~ ------'-------------ëiïÿ'Ÿ;;;;ù;;;__m______------------- Da~~:~~~i;;:"
Inl 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 ell statutes. city ordinances. and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
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(\ CITY OF OSHKOSH HEATING PERMIT
\ APPLICATION AND RECORD
Date-L- 31 -- '7 f'
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Application
N?
3~47
Owner
Address
Building Use
Type of Fuel:
Type of Heating System:
Forced Air (number) /
Steam (number)
Unit heater (number) /
New heating system /
Conversion Burner
New Used
Calculated Heat Loss ...f~-.ro-o
Size of Unit(s) 7 ~ ~
Miscellaneous Work to Heating System
Gas
Coal
Other
Heating Contractor
Address
Valuation of Work
Electrical Contractor
*~\
Oil
Electric
Hot Water (number)
Gravity (number)
Replacement of:
. 0(!)(')
A''; (Yt:fV ~~
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The undersigned hereby applies for a permit to do the work herein described, according
to the plans and specifications herewith filed, and hereby agrees that such work will be
done in accordance with said description, plans and specifications, and in compliance with
ordinances of the City of Oshkosh and the state building code of Wisconsin.
(Signed)
Address
(By)
Address
Heating Inspector
Final Inspection
Owner
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Agent
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A I HEATING REFERENCE 1/:= 39 '/7 !) '1i
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Name of owner\nO(),'d~()r1'<~d~ QI\AO" Date
A.ddress J a \ ()~\~, ~ Q\'r.. 0~.
\
1'ype of Work \ "'0,. \~'dH J~~) ~ (1''- o-IJ "J)TAO't ~
Bldg. Contractor
Heating Permi t Issued 7'- 3/'- '7 S-
Cl 0 II
Htg. Contractorc-i~Q,V~ ) J.. ~Q A. \l-^: .~~.
Pinal I. 0/1 ~/ ~ 9' J
=~~:~;~l~eo;~;;~ ::::t.'~f~~~~k .
\)CLOOa 0 ~ Cf'e O&-~ ~^d'\.....2 , Wo-xk c90 is ts o{; (\ . \' ~\.hr.D
GENERAL 1: RACTOR :\C10
~L
'^f\1\~j)b . rv-- ~, ,.\U'C)~ '-h~ ~ - '\t\ '
' \ MASON CO "TRACTOR ZONE ,+
Width of lot <lor DATEa~~PEEffu~~
- if 35, oofJ, RE!vJARKS .
b-30-'?6 &.J~v?n ~Vf/~i','/>~~'/~ if,'> ,~',_1'>--. AcJ/"i,1-
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Front of lot
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METER(S) PERMIT
Date ( �
Name of Owner %/�
Address of Owner 2/
e,-0, 0, {cam.
Meter Installed At
Meter (s) Size „7/ , d
Meter (s) Use ( ., 1Pte_.
(Diagram of Use)
Meter will be installed and used according to the above
information,
CSwn or Agr L
To Water Utility: Requirements have been met to purchase
and install meter (s) at the above address for size and use
indicated.
// 1/1?2/42
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