HomeMy WebLinkAbout0001122-Plumbing (repair water service)
~
)
,,)
N-
of
Plumber
PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 1122 X
11¡ji~£____--- Zl!~~---- ~... !&:d2ß~__-
LL_otNoo I Block I Ward I Addition or Replat
OUTSIDE WORK
Date
NIW SEWEI WATER STORMS fIES FEES RELAY S. SEWER WATER STORMS fEES
From MaIn 10 Cwb Septic Tanks From Main to Curb
From Cwb to BuDding Electric Pumps From Cwb to Building
Repair /' l,oV
INSIDE WORK
NO.
RE'.
NEW
USED
FI"
NO.
NEW
REP. I USE'
fEES
NO.
NEW
.E'. I USE'
'EES
Bath Tub
Garbage D~
Catch Bulns
Waab Buin
Dlshwuben
Conducton
Water Cloeot
LaundramaIR
Greue Catch BulDa
+--
SID1o:
Water Soflenen
Sump Pump 8< Ejecton
Water Heate..
Shower Batba
Sanitary Bubblers
Urinals
Bar and Soda Wastes
noar DraIDs
Dental Cuspidors
Laundry Tube
Seni... Sinks
I,,"pections .m........m..Oulside
~::::==:::::::=::=::=:==::=::...................Inside
Valuation of the Work Herein Described
$./6.~.........m.......................m...-
$.
.
Fee Verified. Receipted and Recorded
Received Permit and Inspection Fees
.....mm.............m.Sewer Fees
.....LLQPm...PIbg, Fees
.......l,..<!D......Tolal
Date ~-d)/- 7¿/
....
....""'.ë.';Y.T;;;;~;;;".........'.".."....".
..........m......._m
-Final OK
In the performance of this work the undersigned owner (or hi. authorized agent) of said preml.es end hi. authorized Plumber hereby agree to be bounden by ond
submit to all .tatutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It Is futher agreed by the undersigned that no other uses will be made of the above connections except as her~inoîlõì'-tioted.
=~~=:~::::::.. ..~~~?~Z!&. hi;. ~ ;~.~~;............
7~.ú. Plumbln9.~.m.m..mm
mm................