HomeMy WebLinkAbout0009187-Plumbing (sewer/water)
~
I,
R-
of
PIWlllber
PLUMBING PERMIT - Oshkosh, Wisconsin pe~it . N~ 9187
-.-.. ::~:r mm./cfilJ:!_~....._-
¡ Addilion or Replat
.m._....1~-._.................. ~:r .........:~~L....~Þ¿.
I Block I Ward
Dato
l Lot No.
OUTSIDE WORK
NEW SEWn WATER STORMS FEES FEES 'ELAY S. SEWE' WATE' STORMS FEES
From MaIn to Curb i/ II /t,.r' I II Cej? .j,. ff N~ Septic Tanks From Main to Curb
/ ~ / / / '
From Curb to Building Electric Pumps From Curb to Building
Repair
INSIDE WO lK
NO.
NEW
UP.
"ES
NEW
FEES
NEW
fEES
'EP.
USED
USED
NO.
'EP. I USED
tlO.
Batb Tub
Garbage Dispooalo
Catcb Bastos
I--
Wub Basin
Dishwashers
Conductors
Watar CION!
Laundr-
Grease Catch Bastos
f-
Sink
Water Softeners
Sump Pump" Ejec1ors
Water Hoato..
Sanitary Bubblers
Bar and Soda Wastes
Sho".. Baths
Urinals
Floor Dratos
Dental Cuspidors
Laundry Tubo
Service Sinks
Impactiom Valuation of the Work Herein Described Fee Verified. Receipted and Recorded Received Permit and Impaction Fees
~~~ ~~~~===~ --",,~..- ~~~§ ,:7
In tho performance of this work the undersigned owner (or his authorired agent) of said premises and his authorized Plumber hereby agree to be bounden by and
submit to all statutes. city ordinances. and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It Is futher egreed by the undersigned that no other uses will be made of the above connections except as hereinafter listed.
--"'-""'.""'-."-~"""-""" ....-.........-.....-.........-................""-"""""""... ....m..
D . "'y""'.",,,~.utho'i'ed..ent ........
---- ... -....... _..-#~;-.........................................._....
~.. ~~-j:¿...
....m"'.""""~~PiUmb"
.""'-"""..."'"