HomeMy WebLinkAbout0008259-Plumbing (laterals)
....-.-
)
PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 8259
----~~~~ ::!:r _____m;Ll___~_-------------_.._-------_..- :=.1r ---~J.._-----~-L----
--I Block I Ward tJ\dditiOn or Replat
H-
of
PIlIJIIber
¡ Lot Ho.
Dale
OUTSIDE WORK
NEW SEwn WATER STORMS FEES ...5 RELAY S. S'."R WATER STORMS FEES
From MaIn to Curb " Septic Tank. From Main to Curb
~m Curb to BuDding '1-1/(11, /11(1"", .~ Electric Pumps From Curb to Building
V Repair
INSIDE WORK
Bath Tub
NEW I U,. I USED I FRES I NO.
Garbage DilponJa
Calch Basins
NO.
Wuh Basin
Wilier CI_t
S1DIo
Wilier Heale..
Show. Balha
F1o...- Ðrehls
LaUDcIzy Tubs
IDlped!oDl --_.m---Oullide
~~=::::'=:=~-=----.-__ID8ide
=:¡7m~ 0;
NEW
REP. I USED
FEES
NO.
NEW
REP. I USED
FEES
-,-
Dishwashe..
Conductor.
-,-
Laundrama.18
Grease Calch BIlOw
Waler Softener.
Sump Pump 8< Ejeclor.
Sanilary Bubble..
Urinals
Bar and Soda W...te.
Denial Cuspid"..
Service Sinks
Valualion of the Work Herein Described
S _!~2>':::Q--,-Q~,-------,,-,,----, -----
S----..- -,---,- -------------,-, ,-- -..-, -,-,-----
S,-------,-,-- -..- --..._----,---_.. ,-----,.....-
Fee Verified. Receipled and Recorded
Received Permit and IDipeclion Fees
---.2.0-D.--,.sewer Fees
'jf'/-J_C2{;)._Plbg. Fees
-,-,-fLQ,.à.,-- Total
Dale /1'- ol¿j' . 7 .s-
-----.. -------- -.._, C¡íÿ'Ÿ,.â.;;;;- ........- -'-'-----
In thl> performance of this work the undersigned owner (or his authorized agent) of ..;d premises and his author ired Plumber hereby agree to be bounden by and
submit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Poblic Works for the government of Plumbers.
It is futher .greed by the undersIgned that no other uses will be m.de of the above connection
B;::;;:t~~~'~-;~:~:~~~:~~:~:::~:~::':::::: ::~~:~:::::~
- --.. "umbln9 In.pec1O'
---""----"------"""--..---..-