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HomeMy WebLinkAbout0008102 P ~ ') ) Name of Plumber PLUMBING PERMIT - Oshkosh, Wisconsin Permit N':' 8102 --~~~ Z_~t=~:-~~ OUTSIDE WORK Dale NIW SIW" WAT" STORMS FEES FEES RELAY S. SEWER WATER STORMS FEES From MaiD to Curb Septic Tanks From Main to Curb I'Iom Curb ill Bullcllng Eleclzic Pumps From Curb to BuUding Repair INSIDE WORK NO. NIW RIP. USED FlES NO. NEW REP. USED ,"S NO. NEW REP. USED "IS I--- - - - Bath Tub Garbage Dia»Oll8k Caleb Bum. - - Wuh Basin Diabwuhen Conductor. 1- - - - - Waler CI_t LallJldr- Gre..... Caleb aMino SbIk - / rB410 Waler Softeners Sump Pump" Ejectors Waler Hltale.. Sanitary Bubblers Bar and SocIa Wastu Shower Bùho Urinals Floor DrIllDa Dental Cuspidors Laundry Tub< Service Sinks Inapediona Valualion of the Work Herein De.crlbed Fee Verified. Receipted and Recorded Received Permit and Inapection Fees --------..-------..-Outslcle $J1..:1~_?_~..9._?.._...._..__..._.._-_......_-- ~?;= ......-..---..-------------IDslcle $......-..-------..-..------....------..--.....--- -..----------------- """"'-""'-"""""ëiiyÿ;m~;¡;;------"""-"'" ---------..----FiDal OK: $..---..-....----....-..---....-..--..------..- In the performance of this work the undersigned owner (or hi. authorized agent) of .aid preml.es and his authorized Plumber hereby agree to be bounden by and submit to all statutes, city ordinances, and rules and regulation. prescribed by the Board of Public Works for the government of Plumbers. It Is fulher ag....ed by the undersigned that no other uses willb. made of the .bD~e connection. except a. hereinafter Ii.Ied. T!é ~"~'¥-' rp;---- --.c-'--u-'-~"-þ :;:::J1:"~~:~~:~~~::':'~=:'~::::'::~:~'~~:: --p.~--;;. . PlumbIng In__: ,.. cÆ!d4.YW'~V,"".,cwnc~..' "c"