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HomeMy WebLinkAbout0008062-Plumbing ~ H- ot Plumber J»Lt MBING PERMIT ...Oshko~h, Wisconsin ._........~.c-.._-~-_._...__. . ::!:r ..._~.....~f--... LLot Ho. I Block I, Ward' OUTSIDE WORK Permit N? 8062 :~~r ..-----~2~--~~_L Addition or Re >lat Dete ) NIW SEW.. WAr.. StORMS fEES fEES RElAY S. SEW'R WATER STORMS fEES From MaIn to Curb Septic Tanks From Main to Curb From Culb to Bu11ð1ng Electric Pumps From Curb to Building Repair NO. INSIDE WORK -I-I~I~I-I I~I_I~I~I-I 1- REP. USED fEES Batb Tub Garbage DÙlpooaJa Catcb Basins Conductors - Wub Bum Water CIOI8t DlJhwashen - Laundr- Grease Catch Buins 8hsk Weter Softeners Sump Pump 8< Ejectors / Vi.,¡ (J Water Heate... -I- W,qo Sanitary Bubblers Bar and Soda Waot... Shew.. Baths UriDalJ Floor Dr" LaWldry TIIbo I r;/J ò Dental Cuspidors Senice 5mb ) IlIIpsctlons . ValJfation of the Work Herem Described Fee Verüied. Receipted and Recorded Received Permit and Inspection Fees ----jjj-;Y"-'7--:TA-'-"-Outoicle $ ~ /2';../ 01) .;.,................-..--Bewer F.... _.....L.Ì?'.-Ü-~:2Í_InoicIe .....ü.. ...j.L.......-.......----..---.......--- .".3&.O._......Plbg. Feas =¥~3~; ,:::~~~~~~~~==~:====::~=~:~=--= '--""-""'---"'ëíiÿ'T~;~;ë;-""-"'-"-"" D13~:~~h y In the performsnce of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby sgree to be bounden by and submit to all statutes, city ordinances, and ru'", and regulations prescribed by the ß".rd of Public Works for the government of Piumbers. It is futher agreed by the undersigned that no other usss will be made of the above connections except as hereinanor listed. ~-"l}~.~.~~~~~~~~~:::::.:::'::::.:'::~.:==.: Plvmblng Ino,..,., . -----¡ .._~...---~----_..._.....-----............._..........._._.- PLUMBING I HEREBY CERTIFY THAT ALL OF THE PLUMBING IN THIS MILL-CRAFT HOME, BUILDING NO. / f"{ ;¡ IS IN ACCORDANCE WITH THE STATE OF WISCONSIN PLUMBING CODE. Date: ;}~;?t~?s /1 C. (/~4 ¡J - /e! U 0.-18#/) (/v14-<Þ~ Signature ~ Title I HEREBY CERTIFY THAT I HAVE INSPECTED THE ABOVE " IT TO BE IN COMPLIANCE WITH THE ABOVE CODE. NUMBERED JOB AND TO THE BEST OF MY KNOWLEDGE FIND Inspected by: ¡jJ f/ /~ Ti~r.~ Subscribed and sworn to before me this