HomeMy WebLinkAbout0000437-Plumbing (lateral)
~~
11'-
of
Plumbe~
PLUMBING PERMIT - Oshkosh, Wisconsin Permll N';1 437
~ í)¡ ¡J 1 Name ~ ""u.' Sinel " r;' /? '" 1
,.-(j-~---'¡y(,zJ-<U'~~7I---- o:/ne~{!A--1..._j.¿)4--'1~kdÙ_~___----------------- N~'1..~ ---j~--__~___L~~L:.",^_-----~.
I Lot NO" ~ Block 1/ I Ward I Addilion or Replat
OUTSIDE WORK
Due
NIW SEwn WATER STORMS 'EES FEES .ELAY S.SEWE. WATE. STORMS FEES
From MaIn 10 Curb Sepllc Tanks Fmm Main 10 Curb
!')om Curb 10 BuDding 1#" (l~t' 1/- (l L/f!-- Electric Pumps From Curb 10 Bundlng
Repair
INSIDE WORK
NO. NEW UP. USED FEE' NO. NEW .EP. USED FEES NO. NEW .EP. USED FEE'
~
Ba!b Tub Gerbage DÙlpooalo Catch Basins
-
Wub Basin Dishwashers Conducloro
1- - - - -
Wuer C~t LauWama!ll Greue Cuch Basln8
f-----
Sink Wuer Softenero Sump Pump Ie Ejectors
Wa!e~ Heuers Sanitary Bubblero Ber and'Soda Wastes
Shower Ba!hs Urinals
Floor ~aInS Dental Cuspidors
-
Laundrr Tubo Service Sinks
Inspec:tions Valuation of the Work Herein Described Fee Verified. Receipted and Recorded ReceIY~3~.~r;!JU and Inspection Fees
---------------------------------_m_---------_-----OutBlde $-____~,rC¿é__~~__------------------------------ ----------------------------Sewer Fees
--------____----m-____-------------------------------.Inside :::::::::~i~::::; F...
$------------------------------------------------------------------------
~=~=~.:ø4Jm=::;~--;;; $----------------------------------------------------------------- ----------_------m_-ë-;iÿ-"¡;¡,,,¡;;---------------------- Date ¿'::<.7-7'l
Iin the Performance of this work the undersigned owner (or his authorired agent) of said premises and his authorized Plumber hereby agree to be bounden by ond
submll 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.
=~~=:~::~:2îF~~~~~:_:__::~_::_:_-~:::__:::_---_:~-----:::
~-.~
-- -------------------------pi~;""'-;----- -------~---