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HomeMy WebLinkAbout0008420 P \, ..--.. ) N- ot Plumber PLUMBING PERMIT - Oshkosh, Wisconsin Permit N? 8420 /1/ nn ~ Name ~ "'" ~ j) Street . ~ 2D") (>iI-~_A- ----~--- -- ------------ o~er ------ - -- -------- - ------~-c._-------------------------- N~'kr /2;:/3221.::1.21 --_=1 --~If7tlLØfJJ"'-' I Lot No. I Block I Ward I Addition or Re~. OUTSIDE WORK Date NEW SEwn WATER STORMS FEES IE" RELAY S. S'W'. WATER SIORMS FEES From MaIn to Cwb Septic Tank. From Main to Curb From ClUb to Bundlne Electric Pumps ¡;'rom Curb to Building lIepah- INSIDE WORK NO. NEW REP. USED FlES No. NEW REP. USED FEES NO. NEW REP. USED FlES Bath Tub f 1f,C( GubBII" Di8pooa]s L f:d.; Catch B..1ns - Wuh Buin I~ If; CO Dishwashers Conductors Wat... CI_t If tf;dá Laundr- Gre.... Catch Buiml SIak I <t 4L.o Water Softeners Sump Pump" Ejectors Water Heaters t¡ 5SIJ( Sanitary Bubblers Bar and Soda Wastes Sho...... Baths Urinals n..... Dralaa tf ~OD Dental Cuspidors LeW1c1ry Tubs Serrice Sinks lupections Valuation of the Work Herein Described Fee Verified. lIeceipted and :Recorded :Received Permit and Inspection Fees ~==?ÆI2T-:=-- 0:::: $---.£..Q.- Q-Q.-,-~-þ'------------------------ :t:rX'1'.7iÖ---Sewer Fees ---------------PIbg. Fees ____f.l 'lL------ $---------------------------------------------------- ---_a.r;.---~Q--__Tofal -----------FinaI OK $------------------------------------------------------- ------------------------c,¡;¡ÿ;;¡ä.-u;e;------------------ Date 7/;?/7l)' In Ih. performance of Ihis work Ihe undersigned owner (or hi. aulhorired agenl) of .ald preml.es and his aulhorlred Plumber hereby agroe 10 be bounden by and submit to an statutes, city ordinances, and rules 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 obove connections except as herainafte~ lI.t@l;k ~=õ7f..~:~"~-::~~~~:=:::-::~:::~ :_::::~_:=::::_: