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HomeMy WebLinkAbout0000519-Plumbing (water heater) ø..... of Plumber PLUMBING P~RMIT - Oshkosh, Wisconsin Parm!! N~ Ii _m2J!&bm2tt:1LL____--_------------- ::!:~ --f2~¿----~.d.<-------------------------------- :=.'t. --<:/ú2w¿kd------------ 519 n__--______m_- Date I LoJ No. I Block I Ward I Add!!ion or Ra¡>lat OUTSIDE WORK NIW SlWI8 WATER STORMS FEES FEES RELAY S. SEWER WATER STORMS FEES From MaIn to Curb Saplic Tanks From Main to Curb From Curb to Building Electric Pumps From Curb to Building Repair INSIDE WORK NO. NEW REP. USID FlES NO. NEW REP. USED FEES "0. NEW REP. USED FEES - - - - - - Bath Tub Garbage DII~ Caich Bulns - - Wuh BuiD DlIIowuhen Conducto.. - - - - - Water CI_t LaundrllDLlLb Greue Catch Bulns f-- SbIk Water Softeners Sump Pump Ik Ejectors L Water Heate.. ,/ I I_a::; Sanllary Bubble.. Bar and Soda Wastes Shower Bath8 UriDaIa --- J- - noor Dralu Dental Cuspidors 1- - Laundry TuIos Service SiDks laapect!oaa Valualion of the Work HereiD Descril>ed Fee Verified, Receipted and Recorded Received Perm!! and Inspection Feee -------._---------------------"-----------------_.Outside '¿¿)::L~_____---------------------------------------- ---------n----_.-m_--Sewer Fees ------------_m---------------------------------------Inslde ---..f,--ç2t2-----plIog. F..s $--- ----..-----.---------------.-----------------------__--__--m----.- D~:J~--;;;t:~ -----'---------------"-----'-------------------------- ---- --------Ciïÿ-ÿ;.;.;;.;------------------------ -----------------------EiDal OK $-----------_--m____----------------.------------------------------ In th. psrformence of this work the undersigned owner (or his authorized agent) of said premises end his authorized Plumber hereby egree to be bounden 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 futh.r agrltltd by the undersigned that no other uses will be made of the above connections except as hereinafter listed. ~--==T~~--~=-= /;;) t/._~___~d~--- I