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HomeMy WebLinkAbout0009188-Plumbing (laterals) ~ PLUMBING PERMIT - Oshkosh, Wisconsin Name of Plumber --__...__:d~~-------------- ::!:r ------------_mdL-----~--------- I Block I Ward OUTSIDE WORK Street and ____m- Number - N? 9188 --r~¿:---~~---$. Permit I Lot No, I Addilion or Replai Date NIW SEWEt WATER STORMS FEES FE" RELAY S. SEWER WATER STORMS FEES From MaIn to Curb Septic Tanks From Main to Curb From Curb 10 Building "f ÚflZ J'/P('í1:J .~OO Electric Pumps From Curb to Building / Repair INSIDE WORK NO. NEW USIO NO. NEW FEES NEW REP. I USED FEES REP. I USED NO. REP. FlES BathTub Garbage Dis~ Disbwashars Catch BolDs f------- Wash Basin Conductors Water Cl_t LaUDdramats Gre... Catch BasiDe f.--..---- Sink Water Softeners Sump Pump 81: Ejectors Water Heaters Sanitary Bubblers Bar and Soda Wotes Shower Baths Urinals noow DraIDa Dental Cuspidors Laundry Tubs Iapections -Outside ~:~:::::::=::::=::=::=:::=::==:::::::::=::::____Inside Service Sinks Fae Verified, Receipted and Recorded Received Permit and lapection Fees _m..::{"C:;¡9..__.--_-Sewer Fees ---/-.-<:Ià._----...Plbg, F..s D~:-~~:;l Valuation of the Work Herein Described 11';!,,;$:::?1.¿_q- ~ -- __om -- _m_- -- ---------- - ---- - --- --- $- . ~~irlfh.=::===~~~;' ------------______m___m______--------------------- City T,."".' In the performance of this work the undersigned owner (or his euthorized agent) of said premises and hi. authorized Plumber hereby agree to be bounden by and submit to all statute., city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers. II Is futher agreed by the undersigned that no other uses will be made of the above connection~xcept as hereinafter listed. =~~=d!J;;:::Z~::~:_:~i _::__:_::_: - :_: no_: on::: :_---~--~- :_::-_: Plumbing "'p."'" ----_.~----~~._-----