HomeMy WebLinkAbout0008152 P
)
'\
(
....~
'ì
)
H-
ot
PIUllllber
, PLUMBING PERMIT ~ Oshkosh, Wisconsin Permit N': 8152
~~ ZC(~-~- ... :::t. /.2,o{-~~
L~~LI.'O' ~ I Block I Ward I Addition or Replat
OUTSIDE WORK
Date
NIW SEWEI WArEl STORMS FEES FEES RELAY S. SEWER WArER STORMS ms
From MaiD to Curb Septic Tanks From Main !o Curb
!'10m Curb 10 BuDding Electrio Pumps t"rom Curb to Building
Repair
INSIDE WORK
NO. NEW UP. USED FlES NO. NEW REP. USED FEES NO. NEW REP. USED ms
/ ------- 7
Bath Tub Garbage Dlopooab Catch Buw
Wuh BulB Dlshwuhen IL Z Conductors
- -
Wat.. Clooet Laundramab areue Catch Bulns
SIIIk 'I ~':.'I Water Softeners Sump Pump 81: Ejeotors
Water Heate... Sanitary Bubble.... Bar and Soda Wastes
Show.. Baths Urinals
Floor Drains Dental Cuspidon
Laundry Tubs Senice Sinks
Iupections Valuation of the Work Herein Described Fee Verified. Receipted and aecorded Received Permit and Inspection Fe...
-_._-- ---.- ---.-. -----Outside $~---.----_d5.o.--:.~__.._------------..- -~------¿;~--__Sewer Fees
-- ------ ------ ------..-----wide ------ð.---------PIb¡¡. Fees
$------..-------------------------------------------------- .-------------------- Total
---..YZ;i?ð3.~ 0; $--------------------------------...------------- ----------------------ëi¡Y-i~.-;.~;;;-----------------------' Date (~/¡j,.. 7~
In the performance of this work the undersigned owner (or his aulhorired as"nt) of said premise. 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 tha government Df Plumbers.
It is futhar agreed by the undersigned that no other uses will be made of the ahove connections except as her.inafter listed.
ì ---------- ï¡;--';;-h-~~i---;¡;õOi---------------'---------------------
---------- - .. 9f" er ~ï~--__-------------------------------
----- ~ P~!ng I;;;¡;';.;~
_...---~.£f)~------------------------------...--------------------..._---