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HomeMy WebLinkAbout0000541-Plumbing (lateral) ~ - \ \ ø..... of Plumber PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 541 (1 (ß /) Str I ---~_'l::~?J-~~- ::!:r~~_~--_------------ N~:tr ---_'7~-~-----~------é!f-J- . I Block I Ward OUTSIDE WORK Date l Lot No. '--AdditiOn or Replat NEW SEWn WATER STORMS FEES FEES RELAY S. SEWER WATER STORMS FEES From MaIn 10 Curb Septic Tanks From MIÛD 10 Curb FIo", Curb 10 BuDding 14." ¡1j' / If {"~ ~ Electric Pumps From Curb 10 BuUding Repair INSIDE WORK NO. NEW UP. USID FEES NO. NEW REP. USED FEES NO. NEW REP. USED FE" - Bath Tub Garbage DÙI~ Catch BolDs - - Wub Boln DÙlbwohan Conduclors ~ - - - - Water CI_I Laundr- Greue Catch BolDs - Sink Water Softeners Sump Pump 81: Ejeclors Waler Heaters Sanitary Bubblers Bar and Soda Wotes Shower Balba UriDaIa ~ Floor Dr8iDa Denial Cuspidors ~ Laundry Tubs Service Sinks Impactions Valuation of Ihe Work Herein Described Fee Verified. Recelpled and Recorded Received Permit and Inspection Feel ----_m_---------------------------------------Oulslde $---~-Q.-Q_:_--~-------------------------------------------- --------_.3--_":Z2-----Sawer F- ----------------------------------------------_------IDIide ---_--__L--~----PIbg. F..s -----77-á5753=:;~-~; $--------------------------------------------------------------------------- ----------~:__":f/..__Tolal ------- ----------ëi¡;ïT,ë¡;~;ë;-------------------------- $---------------------------------------------------------------------- Date 7. ,;¿ 7. 7'7 In the performance of this work the undersigned owner (or his authorized agent) of said premises and his authorlred Plumber hereby agree to be bounden by end submit to all statutes, city ordinances, and ruies 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 hereinafter listed. ===£;Z~~~i~~;í::_:::_:~:------------------------------- (1/YvlO/,) ~---I----~"",,--- T--;U--~----------~--------Pi~;;'-";-- --- -------------r--