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HomeMy WebLinkAbout0000295-Plumbing (lateral) ...~ ,J Date PLUMBING PERMIT - Oshkosh, Wisconsin Permit /N~ 295 -----ß~-----_......_------_..._--------- ::!:r --áL-~-----------------_..._------- :!~:r llæcfd__~~~----------_..._---- 4'-0/77 I ~ I / Lot No. Block Ward OUTSIDE WORK Øame of PlWllbe. l Addition or Replat NEW SEwn WATER STORMS FEES filS RELAY S. SEWER WATER STORMS FEES From MaID 10 Curb Seplic Tank. From Main 10 Curb From Curb to BuDdin; ~ ...........-- j,êJD Electric Pumps From Curb 10 Building Repair INSIDE WORK NO. NEW UP. USEO NO. NEW REP. I USED NO. NEW REP. I USED FEES filS flES _Tub Garbage DiJlpon]s Caleh BuIDs Wub Buin DiJlhwuhen Conduclors Wat. Cl_1 LaundrlUDlÙll G.e... Catch Bulm f-- BIDk Wate. Softeners Sump Pump 8< Ejeclors WIÙU Heaters Sanitary Bubblers Bar and Soda Wule. Show. Baths Urinals '- , Floor Drains Denial Cuspidors Laundry Tub< Senica Sinks IIIIpec:llons Valuation ollhe Work He.ein Described Fee Verified. Receipled and Recorded Received Permit and Inspocllon Feoo ~:=:::::::=:::=::=::=:::::-:=::::::=:::=::::::<>;:.~:: $-qo.O_~-------------_..._--------------- _::-:-:f~-g:::::u:~r F:-: =;jl;7-l~:::==~~-~;' . :---_::::::::::::::::~:::::::-::::::::::~:::::~::~::~:::::::::_=:~ . ---'---Cliÿ-T;.;'~;.;-----------'------- D~~:--~~~;~a~ In the performance of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to í.e bounden by and lubmlt to all statutes. city ordinancel. and rules and ~gulatlons prescribed by the Board of Public Works for the government of Plumbers. It Is futher agreed by the undersigned that no other u..s will be made of the above connections except as hereinalter lilted. =-=~l?tr-#--=~:=--:_~ -~--þ-~~- -----------_..-.--- ---------------