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HomeMy WebLinkAbout0008258-Plumbing (lateral) ...... ) '\ ) N- of PIUIIIbe1' PLUMBING PERMiT - Oshkosh, Wisconsin Permit N? 8258 --~--~- ::!:r m_AZ¡~m__&iJ1I~!¿L____m_mm- :~:t _£~-_::j,<L-/Z~,---- I Lœ No. ~- I Ward OUTSIDE WORK Dale I Addilion or Replai NIW SEWEll WATER STORMS FEES FEES RELAY S. SEWER WATER srORMS FEES From MaIn to Curb //IInA ~ ~¡¡N Septic Tanks From Main to Curb I -ç¡; I ~ Curb to BuDding Electric Pumpo From Curb to Building Repair INSIDE WORK NO. NIW RIP. usm FIlS NO. NEW REP. USED FEES NO- NEW REP. USED fIE. - - Bath Tub Garbage DiIpooaIR Calch Buins I- Wub Buin Dishwashen Conductors - WaI." CI_t LaundramDto Greue Calch BUÙIII SbIk Waler Softeners Sump Pump 11< Ejectors WiWlr Heaters Sanitary Bubblers Bar and Soda Westes Sit""'$! Batb8 Urinals Floor Drains Dental Cuspidors Laundry Tubo Service Sinks In>pect1o,,,, Valuation of the Work Herein Described Fee Verified. Receipted and Recorded Received Permit and ¡""peetion Fees ---------------...----- ---- Outlide $----~Q----~----_"'!:.£_---------.------------ -1.3.,-QIJ--------Sewer Fees ---------------- -----_--1IIIid. --t--~XL__Plbg. Fee. ---r;r.rt2~----;hW 0; $------------------------------------------------------------ -...- --",_i1o...___Total $------------------------______m_--_- -------------"----------C¡¡Y-ÿ;ë;.ü,ò;----------------- Dale J.j -d-~ - 7.s- In the performance of this work the undersigned owner (or hi. authorired agent) of said premise. and his authorized Plumber hereby agree to be bounden by and submit to all sta,tutes. city ordinances. and rules and regulations prescribed by the Board of Public Works for the government of Plumbers. It Is futher egreed by the undersigned that no other use. will be made of the above connections ,e)1cept as he!'é1)-¡aftor listed. ----W---~--~~~:~;';¡;" .. ¡,~;.~;¡.q;;¡-ï.;;¡------------------------------------- ~_O..ðJ:7..~---- ~._r