HomeMy WebLinkAbout0001499-Plumbing (laterals)
~
PLUMBING PERMIT - Oshkosh, Wisconsin Perml! N~ 1499
~-4c...¿(~...~.£Ä....._...... ::!:r ..#/iZ..~Y.f.Ç;.~~=...........$.~...c.,,5... :~:~r ....¿'¿...2/..........L~c....L~.~_-
~fh~ IJI/~S7- I I I
Dale Lot No. Block Ward ~ddilion or Replat
OUTSIDE WORK
'Þ
Hame
ot
Plumber
NIW SIW.. WAtER STORMS fEES FEES RILAY S. SIWIR WAtER STORMS FEES
From MaIn to Curb Seplic Tanks From Main to Curb
hom Curb to Building Ie.:... /~ ~ Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO.
NIW
NO.
NO.
1m
NIW
RIP. I USID
fEES
NEW
REP.
USED
UP.
USED
liES
BaIh Tub
Garbage Dlapoeals
Catch Buins
f------
Wuh Basin
Dishwashers
Conductors
Waler CI_t
Laundram&18
Gre.... Caleh Basins
--
SInII:
Waler Softeners
Sump Pump" Ejectors
Waler Healers
Sanlluy Bubblers
UriDa1a
Bar and Soda Wastes
Shower BaIhI
Floor Drllhul
Leundry Tubo
Dental Cuspidors
Service Sinks
;~==:~~=::=:::=:=:::::::::::==::::c;::::
Valuallon of the Work Herein Described
$... ......~.<::>.::~...:...."'...f?...........................
$
.
Fee Verified. Receipted and Recorded
Received Permit and Inspecllon Fees
......~...':..o.....Sewer Fees
./ ~ù
."'.:.:;;:V.;;..o....PIbg. Fee.
D~~""'F~;/5 y-
".."."'~çTél_j$Z..==:;~-;;;
......
..."'....Cr¡:¡T;~;;~;~;".._'....."'..."'.....
In' the peñormance of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to be bounden by ond
submit to all statutes. 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 excçt IS hereinafter listed.
=~~=~~~~-~~;,~~~:: ...............................