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HomeMy WebLinkAbout0008185-Plumbing (lateral) ~ ì )~ PLUMBING PERMIT - Oshkosh, Wisconsin z.. ÇÆLEìiI~L Z ~~ LLiX No. . . I Block I Ward OUTSIDE WORK Permit N? 8185 ...... :~~:r.2&s.....:2~¿u:~~.~ ~AddiiiO" or Replat Dille NIW SEWU WATU STORMS FEES FEES REIAV s. $EWEa WATER STORMS FEES From MaIn to Cub Septic Tanks From Main to Curb From Cub to BuI1d1Dø I.l/ 'Í7 -,' t'/~ ~ Electric Pumps From Curb to Building Repair INSIDE WORK NO. NIW UP. USED FlES NO. NEW REP. USEO .... I NO. NEW REP. USEe FE.s - ~ - - - Bath Tub Gubage Diapooalo Catch Bulus WuIa BuID Diahwashen Conducto.. - - - - - Wilier CIOI8t Laundramats Grease Catch Basw SIzIk Water Softene.. Sump Pump Ik Ejectors Wilier Heaten Sanltuy Bubble.. Bu and Sod" Wastes Shower Baths Urinals Floor Drlllna Dental Cuspldon Laundry Tubs Service Sinks IlUIpectiolUl Valuation of the Work Herein Described Fee Verified. Receipted ""d Recorded Received Permit and Inspection Fees --...--.----------Outaide $--J.'Q.Q.'::"~-----_..._._-_..._----- m---";¿~--~----Sewer Fees _.--._---~_.__.-,---_.-Inalde .--..--L--~.-'plbg. Fees S---------------...------.------.....----.----- .._....--~.~-TolaI 4-§Z2.æ.=.-nnaI OK $._._---------_._---------_._-----~----- ""------""'."".----'ëïj;¡Ÿ;;;;iû;e;---------'----"'--' Date -3 -/'1 7..s- In th.. ""riormanc.. of this work tho undersigned owner (or his authori.ad egent) of said premis~. and his .uth~ri.ed Plumber hereby agree to be bounden by and submit to ell statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the governme"t of Plumbers. It Is futhe. agreed by the undersigned that no other uses will be mede of th.. abovo connections except as hereinafte. listed. =--=~~~~~~~:~..:::..:..:::::':::.:::...~'.: --m..----~J....i~~~----'--_.m--mm----...----.----....--_..-----