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HomeMy WebLinkAbout1976-Plumbing (laterals) I t '¡ ,) [ì ¡ I 1 ~ .11'- of Plumber .' . PLUMBING PERMIT - Oshkosh, Wisconsin Permil N'.? 94~ ~~~ Z ~H~-'-. :s.. j~~£7?2~_1 . I Lot No. I Block I Ward I ,Addition or Replat OUTSIDE WORK Dahl NIW sown WATER STORMS FEES '""S RIIAY S. SEWER WATER STORMS FE" From Main 10 Curb Septic Tanks From Main 10 Curb ~m Curb 10 Building d" C!../ /f;"~ ifH/ Electric Pumps From Curb 10 Building Repair INSIDE WORK 110. NEW u.. NIW NO. FEES NEW RI,. I USE. FE" RE'. USED US.. FI" NO. Bath Tub Garbage D;"p00a]8 Catch Basins Wash Basin Dlshwashen Conduclo.. Water CIONI Laundrama.ltl Grease Catch Basins I-- SiDk Water Softene.. Sump Pump k Ejeclo.. Water HeateRS Sanitary Bubblers Urinals Bar and Soda Wasles Shower Balha noar DraIDs Denial CuspidoRS Laundry Tubs Service Sinks ~~:~~=::==:=:=~::::::= :::=== ::0;:.::: Valuation of Ihe Work Herein Described $..~O.~..~.............._......_.._............... Fee Verified. Receipled and Recorded Recei3 Perml1 and Inspecllon Feet ..............~.~...Sewer Fees ........¿~..~.PIbg. Fee. ............í:/..~,Tolal . =ø7J~::=~~=:;~-;;; ...,... .........................................,........,.., City y,....", Date 7~..L2. 7th $..................................................-..................-... In the performance of this work the undersigned owner (or his euthorlred agent) of said premis.. and his euthorired Plumber hereby egree to be bounden by and submit to ell statutes, 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 uses will be made of the above connections except as hereinafter listed. =~=~:,::::~::~:~~:.~.~~~:~:'.':"