HomeMy WebLinkAbout0009102-Plumbing (laterals)
~
)
ø.....
of ,0 .,/- Name
P1umIIeR ........../];/(:£:.S._....._- of
....--.......-.-.................. OwneR
PLUMBING PERMIT - Oshkosh, Wisconsin Perml! N~ 9102
......,..s;u:¿j.fL..£/e.f1/rL.~f2........_................ :;r(R ...]j'ô.a..../':1c1a!Le.LL__L2L-
I~~ I~ 1-
OUTSIDE WORK
I Addition or Replat
Date
NEW SEWEI WATER STORMS fEES fEES RElAY S. SEWER WATER STORMS FEES
FROm Mein 10 Cub /// Pi/!' ít j',óC Seplic Tanks FROm Main 10 CuRb
FROm Curb 10 Building ElectRic Pumps FRom Cub 10 Building
/6 "',Pn. iJ>ßO RepaiR
NO.
NEW
UP.
NO.
USED
FEES
Bath Tub
Wub BulD
Wat.. CIOl8I
Sink
WateR Heale..
Show.. Balbo
FiooR DRaiDa
LaundRy Tubo
IDSpecIIOI18
~:=::2~1~}:=::::~==::::::O;';~:
~~Jfiá::::~~=:;:~-~;
INSIDE WORK
NEW
fEES
~
S-
USED¡ 'E.ES
-;¡ ~.of)
-~O6
NO.
REP.
REP. I USED
GaRbage DÏ8pooa]s
Caleb BulDa
Diobwashen
ConducloRS
-,-
LaUDdRamaIR
GRease Calch BaslDa
+--
Wal.. SofteneRS
Sump Pump 8£ EjectoRS
SanitaRY BubbleRS
BaR and Soda Wasles
Urinals
Denial CuspidoRS
SeRvice Sluka
Fee VeRified. Receipled and Recorded
R~te¿~~~9=~.:::e:n;::,lIon Fees
::¡Jl~Qfj~::::: Fees
Dale-,,;4Jlh¡:
Valualion of Ihe WoRk HerelD Described
$.-!.J;!çzQ:::...~Ç;L..._......_..................-
$... ...........................
$..................................
.....................................................
CUy T""""
......-..................---
In the performance of this work the undersigned owner (or his authorized agent) of said premises and his autho<ired Plumber hereby agree to be bounden by ond
submit to ell statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
II Is futher agreed by the undersigned that no other uses will be made of the above connections ex.çept
=..1J:::;)~~%::Z~hi~. '~~I~~:: =~i.:: ... .:.:: :..:: .............-....... ......
PI_lng Inop."'"