HomeMy WebLinkAbout0000257 P
. PLUMBING PERMIT - Oshkosh, Wisconsin Permit N!',? 257
z..9y_8c:2t:JIu.~;'f: Z _.Æ¿~.Q~-,- :::td."£(2L~Æ...~
Date I Lot No. V. I Block I Ward ..l Addition or Replat
OUTSIDE WORK
NOW SEWEI WATER STORMS FE" FEES RELAY S. SEWER WATER STORMS FE"
From MaIn to Curb Seplic Tanks From Main to Curb
From Curb 10 BuDding Electric Pumps From Curb to Building
Repair / In)
INSIDE WORK
NO.
NEW
UP.
USED
FlES
NO.
NEW
REP. I USE.
FE"
"O.
NEW
REP.
USE.
....
Ba!b Tub
I---
Garbage DislpooaIa
Ca!cb BaslDa
Wuh Basin
Dishwashers
Conducto..
Water CI_t
LaundrIUD8Ù
Greue Catch BaslDa
-
Sink
Water Softene..
Sump Pump lit Ejecto..
Wa!er Heate..
Sanitary Bubblers
Bar and Soda Wastes
Shower BIIiha
Urlnaisl
1-
noor Drains
Dental Cuspidors
Laundry Tubs
Service Sinks
Inspections I valualion. of the Work Herein Described Fee Verified. Receipted and Recorded Received Permit and Inspection Fees
. ~ <>--û J '>-0
_......................................................Oublde S...2i.Q.Q.:.............. ...................................- ............................Sewer Fees
..................................._....................Inslde ............. ..........PIbg. Fees
..-£1;~¡':l7~1na1 OK I :..:m::::::::::::::::~::::::::::::::':~:~:::::~::::::~::::::::::~~~ ....."..'.."'..'...."c,iY.Trë¡;.;;ë;".....""...."""'.' D~:....i~~)~:..TO~;17
In'the p".rfJrmance of thi. work the undersigned owner (or hi. authorized agent) of .aid premi.e. and hi. authorized Plumber hereby agree to be bovnden by and
submit to all .tatutes. city ordinances. and rule. and regulation. pre.cribed by the Boud of Public Works for the government of Plumbers.
It Is futher agreed by the undersigned that no other U5O. will be mede of the above connection, except a' hereinafter listed.
=~=.~.:~~:tL~~~~~.: ~~t~: :::.:::: :~:.~:.:.: .:'.=..~:. ::.:..
~/~N"I?_.l ~ &>~ / °ßj:;;
"(;1_:A/../[~""""""'.Pí~;';bë;"""'~:(" ".'.::J"""".I.'.~""'"