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HomeMy WebLinkAbout0009190-Plumbing (lateral) ~ ) PLUMBING PERMIT - Oshkosh, Wisconsin ø..... of Plumber ~. Name~~ of. 1 .---- ... .. ... .- ..... ,-",-""",,000000.." Owner .... ":'000 .. ~..oooooo... ... ~".ooo.._.ooo.ooo"". Iw~ 1- I~ OUTSIDE WORK Street and n' Number N~ 9190 ........4}L.~foooJ.<L....p..~..~...----- Permit I Addition or Replat Date Naw SEwn WATER STORMS lEES FEES RELAY S. SEWE. WATE' STORMS FEES From MIlIa to Curb Septic Tanks From Main to Curb From Curb to Building f I; e.-J; /"'(7<11) t" <100 Electric Pumps From Curb to Building ./ Repair INSIDE WORK NO. NEW UP. RES I NO. NEW REP. I USE. 'EES NEW 'EES REP. USE. NO. USED BathTub Garbage DlopocaJo Catcb BulDl Wub Buin Dlobwuhen Conductors l-----I-'- WatN CIONI Laundramats Greue Catch Buins f-- Sink Water Softeners Sump Pump" Ejectors W8ålr Heaters Sanitary Bubblers Bar and Soda Wastes ShOWN BathR Urinata noor Dralu Denial Cuspidors ,-,-,- Laundry TubR IDSpecü;fr;,!zJ. .-... -......... Ou~ide ~=:::::::::.::~~...._..ooo.._._.ooo...._.._....IDSLde Service Sinks v1.atlon of the Work Herein Described $......~~...<t.ò_....ooo..ooo..ooo........._.._......oooooo..- Fee Verified. Receipted and Recorded Received Permit and Inspection F... ..ooo..~.,;;1ç)...ooo.Sewer F... :.~Ê~:::::::::; F..s Date ØA4b~ e _.._.m.......-.....--._.....ooo_..mooo.oooooo..m.- .ooo.-.._..ooom'OOO"""é"i;Ÿ'T;;;;~ù;;;;""'OOO"OOO"""'_OOO' __..m.__._.-.-...-..--FIDaI OK $000000000'_"""""_""000"""""000000000_"_"""000000"_"- In the performance of thi. work the undersigned owner (or his authorized agent) of .aid premise. and his 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. It Is futher ogreed by the undersigned thot no other use. will be made of tho obove connections except as hereinoftor listed. ~~::~~;;;;'~~~~:~~'~~:::~:...':':::.::....:.....::.::...:......:..:.:. PlumbIng In.._" ..ooo~/~m