HomeMy WebLinkAbout0009371 P
~
-)
,)
N-
of
Plumber
PLUMBING PERMIT - Oshkosh, Wisconsin Permil N~ 9371
41 Name ~~ Sizeet ~ \7fé /' '
e.. -y~ of . .. .. and ¿:J @.?J'/ Ò
.-.... ---.!.-_.....jt...L......_....--..-.................. Owner .........: ............ .. ... ..... ..... ...-............................-................ . Number.. ......e.......... ."'.""""....."'..00"""'....."..-."""""._-
I Lot No. . I BIOCk_____J- Ward I Addition or Replat
Date
OUTSIDE WORK
NEW SEWEll WATER STORMS fEES FEES RElAY S. SEWER WATER STORMS FEES
From MaIn to Curb Seplic Tanks From Main to Curb
From Curb to Bulldlng Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO.
..,.
fEES
USED
HES
NO.
NEW
REP. I USED
fEES
"O.
NEW
NEW
REP.
USED
Bath Tub
Garbage Diaposa!s
Catch Basins
Wuh Buhs
Diahwashen
Conductors
Water Cl_t
Laundramats
Grease Catch Basins
I--
SIDk
Water Softeners
Sump Pump 8< Ejectors
Water Heaters
/
Bar and Soda Wastes
/~
Sanilary Bubblers
Shower Baths
Urinals
noor Drains
Denial Cuspidors
Laundry Tubo
Service Sinks
~~~~~=::~-~:::::=:::::::: =:==:::<>:.:::::
Valualion of Ihe Work Herein Described
$... ...L::5:~..c.....~....._.._................
Fee Verified, Receipted and Recorded
Received Permil and Inspection F-
.....,......................58wer Fees
¿""¿.n~.~......Plbg. Fees
D~~:."'.¥;!7 p;
....--...........-.......--....-.-................-.-
$... .................................-..-...............................
$.............. .... -..-................ ..........-. .-... ........... ---
.... ...."'el.iT;;;;;;;;..........'..."'....."..
-......---.-.-.......-..-...-Fina1 OK
In the performance of this work the undersigned owner (or his authorized agent) of said premIses and hIs authorized Plumber hereby agrae to be bounden by and
submit to all statutes, city ordinances, and rules and regulalions 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 mada of the above connections excepl as hareinafter listed.
=~~::~:Ælfjd:;~~~~,:¡~~.:....:....:.::::::"
.............Cdw~"..)~be(;;~.....
"'00."'..."'.......-