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HomeMy WebLinkAbout0000131 P ~ ) ) 1'1- of Pluml>er PLUMBING PERMIT - Oshkosh, Wisconsin ---_CZ~~-£d,.---------_..._--- ::!:r ~-----~......_-----_...__......_... I Block I Ward OUTSIDE WORK Permit Slreet and Number -......... N? 131 n2?23n___~:--...~----J I Lot No. l Addition or Replat Date NEW SlWEa WATE' STORMS FEES FEES RELAY S- SEWE' WATE. STORMS FE" From MaID to Curb Septic Tanks From Main to Curb From Curb to BuDding - Eleclric Pumps From Curb to Building Repair INSIDE WORK NO. NEW UP- USED flES NO. NEW 'EP. USED FEES NO- NEW 'EP. USED fEES - ~ Bath Tub Gubage DilpooaIs Catch BulDo ~ Wuh BuiD Dilbwuhen 1- Conductors - ~ ~ Wat.. CI_t Laundramata Graue Catch Bulu I--- SIDk Water Softeners Sump Pump II< Ejectors r Water Heaten Sanitary Bubblers Bu end Soda Wules 8bow.. Baths Urinals IC\ .,+-¿ .ç. r---- 11 Floor DraIDs Dental Cuspidors ~ Laundry Tuba Service SiDks IDlpections ValuatIon of Ihe Work HereiD Described Fee Verified. Receipted and Recorded Received Permit and Inspecllon Fees ------------------------------------------_--------Oulside $----~'-~--------------"'--"'----------------"""--- --------------------...--...Sewer F... -------------...----...----------------...----_----------IDlide _......-/:-~PIbg. Foes -------...--...------...---------------------------------- $---------------...--......-----------------------.........-----------...---- ...----"'--~--_--Total --------------------FiDal OK $---------------------..........0---------------"'-----------"'----------- -"""---"'--"'----"'-Ò.¡Ÿ,.¡;-".;----""""""-------'" Date 'Ý, /,;2 - "7 '7 In the performance of this work the undarsigned ownar (or his authorind agent) of said premises and his authorized Plumber hereby agree to ba boundan by and submit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers. It Is futher agreed by tho undersigned that no other uses will be made of the above connections ex'a~t as hereinafter listed. -----......---.0_...--... , -;:.Z;;:-;a----:---_...ddd_------...-----------d----