HomeMy WebLinkAbout0000379 P
I
\
I'
~
H-
of
Pluml:JeR
PLUMBING PERMIT - Oshkosh, Wisconsin Permit N? 379
~~-- :;:.~~~- :a.~LÏ-~_~
I Lot Ho. I Block I WaRd I Addition OR Replat
OUTSIDE WORK
Date
NEW SIWEI WATER STOEMS '""S '""S RILAY S. SIWER WATER ",OEMS FEES
FROm MaIn 10 CW'b Septic Tanks FROm Main 10 Curb
FROm CW'b 10 BuDding ElectRic Pumps FRom CW'b to Building
....aepaif..
I~, .,,1 (2_.11 /- ,,-p
(J
INSIDE WORK
NO.
NEW
USID
NEW
FEES
REP. I USED
FEES
110.
NIW
REP. I USED
RIP.
FEES I NO.
Batb Tub
GaRbage Diopooala
Dishwashen
Catch Basins
Wuh BasiD
ConductoRS
Wat.. CIONI
Laundoamats
GRease Catch Basins
t--
Sink
WateR Softeners
Sump Pump lIE Ejectors
WateR Heate..
SanitaRy Bubble..
BaR and Soda Wastes
Show..BatbR
URùsals
FlooR DRaiu
Laundry Tuba
Dental Cuspidors
Senice SiDles
Iupecliol18 m_Outside
~=::::=:=::::=::=::~~:::::=::::::===::___mIUide
Valuation of the Work HereiD DesCRibed
$--~--~---______m_____m______.._--_._______m____.
Fee Verified. Receipted and Recorded
Received PeRmit and Inspection F-
-.---./u_."':!.u_u-_8eweR Fees
uum.mm.umm._Plbg. Fees
m_j:m~--uTotal
Date b -- /ð- 77
--_mli~Ib1-71::9=:=;;;:¡--;;; I :__::.::::::::::::::::::::::::-:::~::::::=:::::~::~:::::::::::::-~::~ I ---------_U--ëriÿ--T;.;.~;.;----'----'-------""'U'
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 all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It Js futher agreed by the undersigned that no other uses will be made of the above connections except as hereinalter listed.
=~~=~:~~~~¡:~~'_:_:--_:::.._:..:..:_:::m__:_..::__:_-:
1i¿1 ,- ¿
A '.L4-?Áum_mumZJ_d.._._-
--- - - -- PI,miZ""'----
-u---m_m-mm-