HomeMy WebLinkAbout0008092 P
~
)
\
)
H-
ot
Pl1ambe%
. PLUMBING PERMIT - Oshkosh, Wisconsin Permll N? 8092
Slreel /'I'
,.N~ber -------------__---_æ-fs:.----------------~
::!:r --------~-~----~-:i:-;:'-:-
'__BlOCk I Ward
¡ Addüion or Replal
Dale
OUTSIDE WORK
NEW SEW" WAUR SfORMS FEES fEES RELAY 5. SEWER WATER STORMS fEES
From MaIn 10 Curb Seplic Tanks From Main 10 Curb
nom Curb io BuUdIJIg Eleclric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO.
NEW I UP- I USED I .... I NO.
FlES
NEW
REP. I USED
FOES
NO.
NEW
UP.
USED
BaIb Tub
Garbag" Di8poea1s
Calch Basins
Wash Buin
Disbwuhen
Conductors
Waler Cl_t
Laurulramatl
Gre... Caleb Baains
S!aII:
;1i.. p, ./
7
Sump Pump 8t Ejectors
~(J()
Waler Softeners
Waler Healers
Sanilary Bubblers
Urinals
Bar and Soda Wasles
Slww.... .BaIhR
F1oo:r DraIDs
Denial Cuspidors
Laundry Tubs
Service Sinks
Inspec!ions Val1'.aliOn of Ihe Work Herein Described
---------------------Oulside $ ;}t 'l~L,.Q ! ---.;q;:----------------Sew.. Fees
~ ::=-==-==== --,""i=---. ~;;¿
In the performance of this work the undersigned owner (or his authorized agent) of .aid premise. and hi. authorized Plumber hereby agree to be bounden by and
submit to all statutes, city ordinances, end rules and regulation. prescribed by the Board of Public Works for the government of Plumbers.
It I. luther agreed by the undersigned that no other use. will be mede of the above connection. except as herelnaft!r listed.
-:f)--~-=~Ji ~~I- ~~~~~~~:~t~:~~:::::-:-::_:-:-~-:~::~:::~:~~::
---~-- ~In._r
Fee Verified. Receipled and Recorded
Received Permit and Inspeclion Fees