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HomeMy WebLinkAbout0009953-Plumbing (water lateral) ~ ') ) Name of Plumbe~ PLUMBING PERMIT - Oshkosh, Wisconsin Permit N? 9953 ..-----[)~-----~....oo ::!:r -------~-------~--------- :!:.tr --/~Q2__oo~__JL I Lot No. -I Block I Ward l Ward Date OUTSIDE WORK Naw SEW" WATER STORMS FEES FEES R"AY S. SEWER WATER STORMS FEES From Main to Curb Seplic Tanks From Main to Curb ¡II ""/~()Ò ~m Curb to BuDding Electric Pumps From Curb to Buildh1g ~ Repair INSIDE WORK NO. NEW REP. I USED FEES FEES flO. REP. USED FEES NO. NEW NEW REP. I USED Bath Tub Garbage Dilpooab Catch Bum. r--------- Wasb Basin Dilhwuhen Conductoro Watu CI_* Laundramata Grease Catch Bum. Sink Water Softenero Sump Pump Be Ejectoro Water Heaten Sanitary Bubblero Urinals Bar and Soda Wastes Showu Baths Floor ~8IJU Laundry Tubo Dentat Cuspidors - Service Sinks ~~~;~=::=:::::==::::::::=:=:=::~::: YJ/"ation of the Work Herein Described ;._--_:J_Q-Q~oo-~oo..._---------._....__.._.._-_._------_.- $ " Fee Verified, Receipted and Recorded Received Permit and Inspeclion Føøs ~~g§_::::::~~r F:7 Date .;2. n. 7 J =1i~jZjtÎ-:7--~~-~; ---oo -----"--C:I¡;¡T'...~;.;oo---'OO--""----""---' In the performance of this work the undersigned owner (or his authorizad 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 Ø....rd of Public Works for the government of Plumbe.!', It Is futher agreed by the undersigned that no other uses will be made of the above connections op(éépt Ì s herein4fltr list~' =~~~~~~~I~~__:~i_:::::::_:::_:::_:__:::_:..__.__...::..:-- ---L