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HomeMy WebLinkAbout0000028-Plumbing ....~ ) B- ot Plumller I Addition or Replat PLUMBING PERMIT - Oshkosh, Wisconsin N~ 28 I¡ I~__---_-. :~:;-møÎ-Çznd~____~b_- :!r(r~~.3L---~___~i: I Block I Ward OUTSIDE WORK ParmI! -" Date NIW SIWEa WAIER STORMS FEES FEES RElAY S. SEWER WATER STORMS FEES From MelD to Curb Septic Tanks From Main to Curb FNm Curb to BuDding Electric Pumps From Curb to BuUdlng Repair INSIDE WORK NO. NEW "P. USED FIlS NO. NEW REP. USED FEES NO. NEW REP. USED FEES - Ba1b Tub Gorbage Diapooalo Catch Bulns f----------- - - Wub Buin I ¡trtJ Diabwuhera 1- Conduclors - - - - Water CI_t ( lu-v Laundramab Gre... Catch Buins f----------- Sink I II. "--0 Water Softeners Sump Pump Ik Ejeclors WÙ8r Heaters Sanitary Bubblers Bor and Soda Wules 8hower Ba1ha UriDa1s Floor Dr8iDI Denial Cuspidors - Laundry Tubs Service Sinks JDlpsd!Ons Valuation of the Work Herein Described Fee Verified. Receipled and Recorded Received Perml! and Inspecllon F... ~::~:=~:~ti~=:=-::?~~ ~ ----------------------------Sewer F... $---/<--~---'-------____n_---____------------------- ------~_!--~--_PIbg. Fees $--------------------------------------------------------------------------- ----_o!l<-~!2____Tolal --------- ---_--5:-/,;;>:_~lZ)--FiDaI OK $------------------------------------------------------------------------ ------------C'i;:¡T;:;;.~;ë;-------------------------- Date ,;z . ~q. 7 7 In the performance of thi. work the undersigned owner (or his authorized agent) of .aid premises and hi. authorized Plumber hereby agree to be bounden by and submit to all .tatute., 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 useo will be made of the above connections except as hereinalter listed. =-:-~~~:-=== -In :Jf=-=12-l~