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HomeMy WebLinkAbout0009703-Plumbing (lateral) I 1 ~ ,j ì I I ~ ) 5..... of Plumber PLUMBING PERMIT - Oshkosh, Wisconsin Permil NI,? 9703 ~, Z _ll.~~~-l- :::.t.&I'lfi.~.:"..LGP, I Lot 50. I Block I Ward I Addilion or Replal OUTSIDE WORK Dale NEW SEwn WATER STORMS fEES fEES RELAY S, SEWER WATER STORMS fEES From MaIn 10 Curb Seplic Tanks From Main 10 Curb From Curb 10 Building ,;-/', ä )', cz. ~ Electric Pumps From Curb 10 BuUding Repair INSIDE WORK NO. NEW UP, NO. NEW REP. I USEO NO. REP. fEES USE. fEES NEW USEII fEES BathTub Garbage Diopooa1a Ca1ch Bulns f---- Wuh Buin Dishwuhen Conductoro Water CI_t Laundrarnala Gre... Catch Buins ~ SIDk Water Softenero Sump Pump 8< Ejeclors Water Heate.. Sanitary Bubblero Bar and Soda Wastes Shower Baths Urinals n.... Dralu Dental Cuspidoro Laundry Tubs IDIp8CI1olU1 h-.._._-Oulside ~=::::=:=:::=== ::=:::=:=::::::: :.- h ----.Inslde Service Sinks Fee Verified. Recelpled and Recorded RoceiVj ~U and Inspecllon F... ,-.-__m:mm_mmØawer F... _m.m.L_~_Plbg. F..s _m_~_.~_Tolal Dale 1/-<;1- 7G Valualion of the Work Herein Described .:J S"o. ,rc) $. m.m - _m - - ---. h-_-_m - _m_m.__h_h__mm_-- ~ - h-7TffI2hh'?..::==~~~~m~-; m- CI;Ÿ-T,..",.;m m.mm.mm.m- ~ In the performance of this work the undersigned owner (or his authorized .gent) of said premises .nd his authorized Plumber hereby agree to be bounden by and submit to .11 st.tutes, 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 .s hereinafter listed. =~=:~::::¿;t=:?~~=~t_::::: ~:~: :~:: .:_h. ::. ::.:: .:~m__- ______mm_'--h