HomeMy WebLinkAbout0000001-Plumbing (water heater)
I
I,
'WIØ-"
)
c(',
JI-
of
Plumber
PLUMBING PERMIT - Oshkosh, Wiscons,i",\ ,~ Permil N~ 1
----~-------------------------- ::!:. ----~------~.¡:L------------------- :!n:~. _____--2.1~o.----_-w..---~-~-----------
~ I Ward
OUTSIDE WORK
! Lol No.
l Addilion or Replal
Dale
NEW SEW" WAtER StORMS FEES FEES RElAY 5- SEWER WATER StORMS "ES
F- MaIn 10 C...b Septic Tanks Foam Main 10 Curb
~ C...b 10 Building Electric Pumpe From C...b 10 Building
Repair
INSIDE WORK
NO,
NEW
..,.
FIlS
NEW
FEES
NO.
NEW
USE.
'EES
RE'-
USEO
NO-
RE'. I USE.
Bath Tub
Gubage DÏI~
Calch BulDs
Wuh Buln
Dilhwuhen
Conduclors
W- CI_t
Laund..mm
/
Ii <æ1
I
[)-õó
Greue Calch Bulna
8IDk
Wale. Softeners
Sump Pump 8< Ejectors
Wate. Heate..
I
Saniluy Bubblers
Bu and Seda Wules
J"ò'i)
Show.. BaihR
Udllels
Flooo Do8IIIR
1/
¡~ OL
Dental Cuspidors
Serrice Sinks
LaUlldoy Tullo
Inspections
-------------------------------------------Ouùide
,----r::-)J6f'-û-------------______Inside
--~f~:7.il:5:ß-:fI~~~;'
Received Permll and ¡nspecllon Fees
-:~;:{jä::::::n:~r F:7
- , !:ß;if)~ì; ø;
.
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 ond
submit to all statutes. city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
II Is futher agreed by the undersigned that no other uses will be made of the above connections except as hereinafter listed,
112116.1;: - ~~ ~ --=::::-: :::_::
Fee Verified, Receipled and Recorded
$------------------------------------------------------------------------
$-----------------------------------------------------------------------
---------------------ë-i;Ÿ-T;;;;;~;;;--------------------------
=~--I~::=--~~~~~~:~~~_:::::::_::_:--_:--:_:_--_:_--------_:::-:
~ U--- Piumblng in"*,,,'
~___.¿á4A~~------
-- Piumb..
m_--------_-------
~] ¡;; 0 J1/ j?X
PLUMBING
I HmEBY CERTIFY THAT ALL Or'T~P¡;ÙMBING IN THIS
M:rLL-CfìAfr- HOME, - ~U~ìN'G-'NÕ:~'.S.;p ~,;¿ f?> ~
. -'"-,,, "",""'~~"-w,,~-',,--~,----
IS IN ACCORDANCE m¡rt!ÎÈ-šrAT.@( ór . WÌ~O~~Dt
PLUMBING CODE,
,,' ',,-'0""","
õ~~.
Signature -6
Title
I HmEBY CERTIFY THAT I HAVE INSPECTED THE ABOVE
NUMBERED JOB AND TO THE BEST OF MY KNOliIErGE FIND
IT TO BE IN COMPLIANCE WITH THE ABOVE CODE,
, " '
Inspected bY:Z".,....h 7?1~
~;r/ -+-1'.
Title
Subscribed and Sworn to Before Me This
ß%~y of 7
~
19-2>'
~~ 4"'---;,aš~~~/~ Notary Public
'Waupaca County, W ns:!.n
My Commission Expires
/6 - Ý
,
193