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HomeMy WebLinkAbout1977-Plumbing (laterals) ..-cr ) ) H- of PlumbeR - PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ ~o/~~ Z~~.~- :at 312..tiLL I Lot No. I Block I Ward I Addilion or Replal- OUTSIDE WORK --------------- 34 Date NEW SEW" WATER STORMS FEES fEES RELAY S. SEWER WATER STORMS FEES From MelD 10 Curb Septic Tanks From Main 10 Curb FNm Curb 10 Bundlng I.t/ A f1J' I"a ~ Electric Pumps FRom Curb 10 Building Repair INSIDE WORK NO. NEW ..,- USED filS NO. NEW RE'. USE. FEES NO. NEW RE,. USE. fEES - - - - Ba!b Tub Garbage DiIpou1s Catch BulDs Wuh Buin Dishwuh... Conduclorl - - - - - Watar Cl_1 LaundrlUDÙtl Gre... Catch BulDs - SbIk WateR Softeners Sump Pump" Ejeelors -- - -- WateR Heate.. sanUary Bubblers Bar and Soda Wales Shower Baths UriDa1s F1oor DraiDs Denial Cuspidors Laundry Tubs Service Sinks IlIIP8CIions Valuation of Ihe Work Herein Described Fee Verified. Receipled and Recorded Received Permit and Inspection Fees ----------------------------m_-------------Oullide S-__-d':¡;-ÇL~--~___--------------------------------- --------"i-'_~---Sewer Fees ~::~=~~Æ7~:=::=:~~~ S---------------------------------------------------------------m-------- ::::::::::~:~:::::; F..s S-------------------------------------------------------------------- --------------------m--ë-,ìÿ-Ÿ,...;,.;------------------------- Date .:1 ~--.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 ell statutes. city ordinances. and rules and regulations prescribed by the Board of Public Works for the government of Plumbers, It is futher agreed by the undersigned that no other uses will be made of the above connections except as hereinaner listed, ------------- =~~=:~~~~~;~:_:~::::_:---_:~::~:_::------m_----_-