HomeMy WebLinkAbout0008401 P
i
b
.........
)
PLUMBING PERMIT - Oshkos I Wisconsin Parmi! N() 8401
:~ CZ4¡~-----------"'----- ::!:r 9L~~~--___~::(;J2n___-- :~:~r _nn---__l/!~_~--,-------:tlL:L-_-
I I I ú I
Lot No. Block Ward Addilion or Re¡;>lat
DÙ8
OUTSIDE WORK
NEW SEWER WATER STORMS FEES FEES RELAY 5- SEW" WAT" STORMS fEES
From MaIn to Curb Septic Tanks From Main 10 Curb
!\rom Cub So BuDding Elecuic Pumps From Curb 10 Building
Repair
INSIDE WORK
NO. NEW UP. USED N" NO- N'W "P- USE' fEES NO- NEW UP. US" FIES
- - -
Bath Tub Garbaga DispoAIs CII1ch Bulns
-
Wuh Buin Dish"",sh... Conductors
:-------- - - - -
Wa... Clooet Laundr- Gre..... Catch Buins
SIIIk Waer Softeners / p'--C- Sump Pump 8< Ejectors
WÙ8r Heaters sauUary Bubblers Bar and Soda Wasles
Shower Baths UrinBIs
1-
Floor Drains Denial Cuspidors
Laundry Tubs Service Sinks
I...peetloM Valuation of Ihe Work Herein Descr7 Fee Verified. Receipled and Recorded Received Permit and IMpaclion Fees
--------------_---Oulside -----------...-------Sewer Fees
--------------_-----_InsIde $-----/..~--~------------p-..._-- -_..l.~-Plbg. Fees
-------------- $-------------.---------...------...------------------- ..._...L..._~__Tolal
-"'--------------------ëï.ïŸ,Ñ.ü;ë;---------------' ------
--------------------FinBl OK $------------------------------------------------- Date ?- fi ;7.:5
In tho> periormanca of this work the undersigned owner (or his authorized agent) of said premi... and his authorized Plumber hereby agree to be bounden by and
submit to all statutes, city ordinances, and rules and reguiations prescribed by the Board of Public Works for the gov.rnlJ1ent of Plumbers.
It Is futhar agreed by the undersigned that no other uses will b. mede of the shove conn.clion¥éxc~Pt as her.inaf~r ,listed.'-
J (/ /
-- ------ -~~~<):¿:~::lA",':-f.- -:<, -,_n.L~).. --_: _a_A::' 'l{n<::.e::::: :_- 'r"-- -------...--------- ---"'--
=~~~L~;;~~::::::-:_::~-::-::--_:_:::~:-:::::