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HomeMy WebLinkAbout0009564-Plumbing (fixtures) ~ 'j Jlame of Plumber PLUMBING PERMIT - Oshkosh, Wisconsin .""""m.i.{'~--,u.__._..__._.,......_.., ::!:r -_..~,_u~"'" I Block I Ward Date I Lot Jlo. Street N:"m'kr ../ZGr-,. I Addition or Replat Permit N<! 9564 ,~- OUTSIDE WORK NEW SEwn WATER STORMS lEES fEES RELAY S. SEWER WATER STORMS fEES From Main to Curb Septic Tanks From Main to Curb From Curb to BuDding f//y / //Càþ ~()O Electric Pumps From Curb to Building Repair + INSIDE WORK 110. NEW uP, USED flES NO. NEW REP, USED fEES NO. NEW REP, USED fEES f--.- ~ - - Bath Tub / J,,06 Garbage Diaponh Catch Sulns Wub Suin d.... J.'ðcÕ Dishwuhen Conductor. ~ - ¡7ÕO - - Wat.. CI_t Z 'J.:Ob Laundramatl / Greue Catch Sulns Sink / j, ðC Water Softeners Sump Pump lit Ejectors I 7:Oð Water Heate.. / 'j,<7D Sanitary Bubbler. Bar and Soda Wastes Sho..... Baths Urinals Floor Dralu / l>ðÒ Dental Cuspldo.. I~ - - Laundry Tubs SerYice Sinks Inspectiÿ~ 11ltìJ2::?~ ~r.:u=: r.::,: :~:.=: Fee Verified. Receipted and Recorded Received Permit and Inspection Fe.. "-"..ß. ..~ ~u2~"ø,,"_0u~lde muu,uuuuu_uu-Sewer F- u'..m_'_u~ ,Lfo ..1 "..""."Ins,de .L/£..eà_.,plbg. Fee. ~=~¡¡Vill~~-~; $", ,..",..uu...um_"-"""'U""'U'U""'-"""U""'U- ,t../j{(?O",.."Total $_.0.0_'.0 .0 .0.0.0_--' "".0- ---." .0 - _.0_.0"-'- - .0 .0 .0.0 .0- .0 .0.0- uÒ.¡ 'rhO';;.; .0 _.0 .0 .0.0'.0.0.0.0"" Date ~/7? In the performance of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to be bounden by and submit to all statutes, city ordinances. and rul.. and regulations prescribed by Ihe Board of Public Works for the government of Plumbers. It Is fulher agreed by Ihe undersigned Ihat no olher uses will be made of the above connections exce~I.)}6einaftar listed. =B~$.~;~'~'_:~~~~:.:~~.:...:.'.:,,:...::.'.::::..,::,..":::.:: Plumb ng Ino_, ....""u...~di.",,= ",mb<, ""um",uu"uu"