HomeMy WebLinkAbout0009107-Plumbing (laterals)
~*V
)
)
R...
of
Plumber
PLUMBING PERMIT - Oshkosh, Wisconsin Permit N'?
._--~.~~......... ::!:r ........~.....~...........--........................ :;'1:.r ......tf..$J;¿..j~l.l!!....--...
I LoJ Ro. I Block I Ward I Addition or Replat
OUTSIDE WORK
.........--..........--
9107
Date
Naw SEWEI WAUR srORMS fEES fEES REtAY S. SEWER WATER STORMS fEES
From MaIn to Curb Septic Tanks From Main to Curb
holD Cub to BuUdiDg IrQ: /JlCuÞ fOO Electric Pumps From Curb to BuUding
j
Repair
INSIDE WORK
NO.
NEW
NO.
NO.
fEES
NEW
REP. I USEO
fEES
NEW
REP.
USE.
REP.
UIED
fEEl
_Tub
Garbage DiIpoAIs
Dlshwuhers
Catcb Bulna
f------
Wub Buin
Conductors
Water Clooet
Laundramau
Gre... Catch Bulna
f--
Sink
Water Softeners
Sump Pump" Ejectors
Weter Heaters
Sanitary Bubblers
Bar and Soda Wastes
Shower BIIih8
Urinela
Floor Dralu
Laundry Tubo
Dental Cuspidors
Service Sinks
~~~~=::==::::=~:::=:::::=::::::";.=~:
Y¡f~ati50f the Work Herein Described
$.....d,S...Q.,...lL1L...........................................
S
Fee Yerified. Receipted and Recorded
R~eiYed Permit and Inspection Fees
.~..JP'<L.....Sewer Fees
.:;i7I:,..c¿.Q.........Plhg. F..s
D~?¡~Â--~;;~
=~~~~(Z¡~,Z2:~._..:::::;~-;;~
$..................................................-.......................
....."'ë.'¡;¡T;;;;~;;;...""'--..."....."""
In the performance of this work the undersigned owner (or his authorized agent) of said premises and his authori,ed Plumber hereby egree to be bounden by ""d
submit to ell statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It Is futher egreed by the undersigned thet no other uses will be made of the above connections except as hereinafter listed.
=¿;~~~~~;,~~7:~~::=~:.:::....:"
."""."Ð.a~....4~~~......
...........---...,...,..