HomeMy WebLinkAbout0009347-Plumbing (water closet)
~
)
H-
of
Plumber
PLUMBING PERMIT - Oshkosh, Wisconsin Permit N'.? 9347
S~-:t ... ;( . ~ .
Number ..2.....'3.....~../:L...................~
...........-/~~..._._.._.............._.., '~:r ,...~........~~þ
¡ Block I Ward
I Lot No.
I Addition or Replat
Date
OUTSIDE WORK
NIW lEWD WATER STORMS lEES lEES RElAY S. SEWER WATER STORMS lEES
From MaIn to Curb Seplic Tanks From Main to Curb
From Curb to BuUdlng Eleclric Pumps From Curb to Building
Repair
INSIDE WORK
110,
NEW
Uf.
NEW
REf. I USED
"0.
lEES
NEW
REf. I USED
lEES
USED
liES I NO.
Batb Tub
Garbage DiApoAis
Catch Basins
I-
Wuh Basin
DiAhwashers
Conductors
Water CI_t
/'
+--
fYóo
Greass Catch Basins
Laundramats
SIDk
Water Softeners
Sump Pump 8< Ejectors
Water Heaters
Sanitary Bubblers
Bar and Soda Wasl..
Shower Baths
Urinaia
noor Dralu
Denial Cuspidors
Laundry Tubo
~~:o~=::=:::=::=:===:::=::::::",:.:~:
Service Sinks
Fee Verified. Receipted and Recorded
Received Permit and Inspeclion Fees
............................Sewer F...
........jA::Ù.....PIbg. Fees
.........¿ß..\L....Total
Ú' '7 fa
Valuallon of Ihe Work Herein Described
$~4..a...p.Q.............._.._.._...............
e
....... ........................................................
-....-....-............,....---Einal OK
City T,....,.,
Date
$......................................................-...................
In the performance of Ihis work tha undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to be bounden by and
submit to an statutes. city ordinances. and rules and regulations prescribed by Ihe Board of Public Works for the government of Plumbers.
It Is futher agreed by the undersigned that no other uses will be mede of the above connedions except as hereindtor listed. ^
..~........r2.......t2~~.....
i/ ~ 9. CJ 2:::;t¿ :z¡z::
"""""",,""""'........