HomeMy WebLinkAbout0009010 P
~
)
)
PLUMBING PERMIT - Oshkosh, Wisconsin P mit N? 9010
:~r --_---___2eNL~el'._____----------------------------- ::!:r ---/Zoj1-_/--~4\_-----¿ß£iß/'4Ni______---------- :!~:r __llL~~~-ul__~___-------
I Lot No.
I Block ¡ward
I Addiiio_n or Replat
Date
OUTSIDE WORK
NIW SEWEI WATER STORMS fEES fEES RELAY S. SEWER WATER STORMS fEES
i'rom Main to Curb Seplic Tank. From Mein to Curb
From Curb to BuDding Eleclric Pumps From Curb to Buücüng
Repair
INSIDE WORK
NO. NEW UP. USED fEES NO. NEW REP. USED fEES NO. NEW REP. USED fEES
- - - -
Beth Tub Garbage Disponls Catch Bosbls
Wash Bosln Dish.oshon Conducto..
'- - - - -
Water Clooet Laundromats Gre... Catch Bosbls
Sink ßc¡r / !If.CO Water Softene.. Sump Pump lit Ejectors
Water Heate.. Sanitary Bubbler. Bar and Soda Wasle.
Shower BaiIJI UriDels i:ef (!Á f': r,/ / ! /. (),
Floor DrIl1Da Dental Cuspidors
-
Leundry Tubs Service Sinks
IupeclioJUI ~~;; 1::- _:o~ ~- _:: r_: :_=:::.:: Fee Verified. Receipted and Recorded Received PermU and Inspection 1'...
-----------------.-------------------__.-OutBide -~:~:o::::::u:~r 1':-:
----------------------------------------------.-Inside
=~~$..6~~:=:::::::=:::;~-~; $-------------.--------------------------------------- -JI-.'i&--à..o._._.-.Total
------ ---------Ciíÿ-ÿ;;;;-o;o;------------------"-'
$---.-------- ---------------------------.-------------..-----------. Date J~/?V
()
In the performance of this work Ihe undersigned owner (or his authorired agent) of said premises and his authorized Plumber hereby agree to be bounden by and
submit 10 all statutes. city ordinances. and rules and regulations prescribed by Ihe Board of Public Works for the government of Plumbers.
It is fulher agreed by the undersigned Ihat no other uses will be made of the above connections except as hereinafter IIsled.
1I::I::~"~~;~~i;~::=~t~'--'_::.::-------------_._---------