HomeMy WebLinkAbout0008194-Plumbing (bathtub)
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PLUMBING PERMIT - Os~kosh, Wisconsin Permit N':' 8194
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lL..ot No. I Block I Ward
OUTSIDE WORK
l JMòl;ion or Re¡>laI
Date
NEW SIWEI WATER STORMS FEES FEES RELAV S. S""E' WATER STORMS FEES
From Maúa to Curb Septic Tanks From Main 10 Curb
--~
I'Iom Cub to Bu1IdIng Electric Pumpa From Curb 10 Building
Repair
INSIDE WORK
NO.
NEW I lIP. I USID I flES I NO.
fiE.
NEW
REP. I USED
,,"S
NO.
NEW
REP.
USED
Bath Tub
11/
¥oZ:° 0
Catch Balin¡¡
Garbage DiIpoeaIa
WuIo BuiD
Dlshwasbers
Co!tductors
Wat... CI_I
Laundramats
Greus Catch Basins
Billir
Water Softeners
Sump Pump 8< Ejectors
1------+--
--
Water Heaters
Sanitary Bubblers
Urinals
Bar and Soda Wast..
Show... ,Baths
F1oor Drains
Denial Cuspidors
LaUDciry Tubs
Service Sinks
IlISpediollS Valuation of Ibe Work Herein De.cribsd Fee Verified. Recelpled and Recorded Received Permit and IlISpection Fees
----------------.-Outslde $ 1/ ,¿~~ 114 ..¡:.-----------------....Sewer Fees
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<-' ,,<-I,,¿J..= ------FfDaI OK: $----- -- .-- --------------- -...--- Dale f h..r: /7.::.¡¡/
In the performs nee of this work the undersigned owner (or his authori.ed agent) of .aid ¡wemi..s and his authOl'Î.ed Plumber hereby agree to be bounden by and
submit to all statutes, city ordinances, and rules and regulations prescribed by the Soard of Public Works for the governmonl of Plumbers.
It Is luther agreed by the undersigned that no ..ther uses will be mede of the above connections except os .ereinener listed.
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