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HomeMy WebLinkAbout0009144-Plumbing (laterals) I l '.,,1I11f!I]!!V ) PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 9144 :a:..r~Þ:£!L~Lp ,:/----------- ::!~éZL_---~--- :~::r _c2L1jL____([)~~--_--~L ' Dat. I Lot No. I Block I Ward I Addition or Replat OUTSIDE WORK Naw SEwn WATER STORMS FEES FEES RElAY S. SEWER WATER STORMS FEES From MaiD to Curb Seplic Tanks From Main to Curb FJom Curb to Bulldtoll t/ '. (7 ß- /~C!- ~ Eleclzic Pumps From Curb to Building Repair INSIDE WORK NO. NEW UP. NO. NEW REP. I USED NEW FEES REP. USED FEES 0<0. USED FlES BathTub Garbage DllpoRII1a Catch Bulnl Wash BulD Dishwuhen Conductors Water ClOHt LaundramaIJI Gre... Catch Bulnl f--- 81Dk Water Softeners Sump Pump II< Ejectors Water H.at... Sanitary Bubbler. Bar and Soda Westes 8bowerBúbs Urinals Floor DralDs Dental Cuspido.. Laundry Tub8 Ser't'ÌC8 SlDka ~?==~:~=::=::=::=:::::=::::=::::::";::: Valuation of the Work HerelD Described $--,;:fi-!!__:--~---------------.---------------------------- $--- ---------------------------------------------------------------------- $------------------------------------------------------------------------- Fee Verified. Receipted and Recorded Received Permit and Inspection Fees -------.;[,--"J!------Sewer F... ---.l:--~------Plbg. F... -----7!--_~---Total Date ij- 7- 7 ? -------------------------------------------------- -------------------------------F1Dal OK City T"..u,.. In the performance of this work the undersigned owner (or hi, authorized agent) of ,aid premises and hi, authorized Plumber hereby agree to be bounden by end .ubmit to all statute" city ordinances, and rule, and rogulation, prescribed by the Board of Public Work, for the government of Plumbers. It i, futher agreed by the undersigned that no other use, will be made of the above connection, except as hereinafter listed. =~~=~_::~~~~t::::_:::----:::--_:-----_:----:--_::_::_: ~ ) ~----- /'.~~-- ------- ---- - -- ---~--- --- --------------pi~;';~, - - f--" ---------------------