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HomeMy WebLinkAbout0009168-Plumbing (water heater) ~ "- ) H- 01 Plumber PLUMBING PERMIT - Oshkosh, Wiscqn~i\i!, Permil N? 9168 .__....~.....__.....__....._....... ~:r ........~..~...........- :!n1:r ...._....~/~.......~..!...~.............._..._- I Block I Ward '" ! Lot No. loo Addilion or Replat Due OUTSIDE WORK NIW SEW" WATER STORMS lEES lEES RELAY S. SEWER WATER STORMS fEES From MaIn 10 Curb Seplic Tanks From Main 10 Curb ""'m Curb 10 Buildlng Eleclric Pumps From Curb 10 BuUding Repair INSIDE WORK NO. NIW REP. NEW NO. fEES NEW 'USED REP. I USED lEES USID HES NO. Î Baib Tub Garbage Dlapooals Caich Basins Wash Basm Dlahwashan Conduclors Wu.. Cloaal Laundramals 7 -'I?!\) f-- /; () /) Gre... Cuch Basins SIDk Wain Softene.. Sump Pump" Ejeclo.. / Waiar Heue.. J Sanitary Bubble.. Bar and Soda Wasles )},,'t;:, Show.. Baths Urinala . noor DraiDs / Denial Cuspido.. ]> ð6 Laundry Tubo Service Sinks Inspacl1ons Valuation of Ihe Work Herem Described Fee Verified. Receipled and Recorded Received Permil and Inspecllon Feeo "-"""~"/~"1..__._._............._0uIlide S i4.5-:K.D. <.!) Ò"Fr'LT7ï.......,Sewer Fees _....:J/'!;iL./!..(é---_...........Inside .. . -.- .,--.------.......-..-.....--... ..tt..r~yg.__P1bg. F..s 41i5/-f)J¿==~~~-~;' ::::::::::::::::::::::~:::::::::.::::::::~:::::~::~~::::::::::::=:~ """'ë;ïý'T;;;;~;;;""'-""""""'-'" ~~~:.j:'~~~;~OI~} (, In the performance of this work tho undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to be bounden by ...d submit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers. It Is futhar agreed by the undersigned that no other uses will be made of the above connactions except as hereinafter listed. --- --- T""";""!l"';:;;r"ô!'p,.;;li-;;"'h'I;'~t¡;;;;i;¡:' ';¡¡;;í""""""" "'-"-"-.. =~~~~__a~;~;-................................,.. '< ....~...~~....... PI,m", ",~. ,,' '. '".""'" .n'~/ I HEREBY'qp:R1'!FY THAT ALL OF T.HE FACTORY INSl'AtLED ;PLuMBING' IN THIS MILL-CRÃFr HOMÈ, BUILDÍNG NO. ~ /" on . C, ~~, WAS FRESURE TESTED AND IS IN ACCÅ“DANCE WTIH T~ Sl'ATE OF "" ".. ." . _..."m'.. ",."--~,-"-",~,,,,-,, .. WIScONSIN PLUMB INGCODE. """"'¡"" 1¿~~ Title I HEREBY CERTIFY THAT I HAVE INSPEC1'ED THE ABOVE NUMBER JOB. AND TO'l'm: BEm' OF MY KNOWIEDGE FIND TI TO BE IN COMPLIANCE WTIH THE ABOVE CODE. Inspected bYI ~ ,_..) (Ç¿~ .~ 6J~+ Title " S11bscribed and Sworn to Before Me This Ls.4IÆty of 9-~ 19,75 ~ ..~~~-~ ~Wi nsin Notary Public MY Co~~ission ~ires /o-~ , 19 /'6