HomeMy WebLinkAbout0009126-Plumbing (lateral)
~
)
)
H.....
of
Plumber
PLUMBING PERMIT - Oshkosh, Wisconsin
CJ¿ /)~ /f Hame ~ ~ ~
¥~. f~ . of. /, ~. .
..... ._......=~....... #4 ~. Owne~ð/.......... .. ...... ... ............ .........
I Block I Ward
Permit N~ 9126
.... ::~r ....C£-i/....~ø-
[1.01 Ho.
I Addition or ReplaJ:
Dala
OUTSIDE WORK
NEW SEW" WAT" STORMS FEES FEES RELAY S. SEWER WATER STORMS fEES
From MaIn to Curb Septic Tanks From Main to Curb
From Curb to BuDding .",¡..j. i /í'/ I" e ~ Electric Pumps From Curb to Buildhtg
Repair
INSIDE WORK
NO.
NEW
FEES
u,.
USED
liES
NO.
NEW
REP. I USED
FEES
"0.
"EW
RE'.
USED
BaIh Tub
Garbage Dlopooals
Calch Basw
Wasb Basin
Dishwashen
I~-
ConductO"
Waler CI_t
Laundramalll
Grease Calch Basins
LI-~L
Sink
Waler Softane..
Sump Pump Be Ejeclo..
Waler Haalen
Sanitary Bubhlers
UriDa1s
Bar and Soda Wastes
Shower Ballu
Floor Dralna
Dental Cuspidors
Launclrr Tubo
Inapacllona
-........ ..................... ....... ...... Outside
...................................................Inaide
Senica Sinko
Fee VerifieeL Receipted and Recorded
Valuation of the Work Herein Described
-3d.Ò. ~
$...................................................................
~
Received Permit and Inlpecllon Fees
....,,;;?:.~....Sewer Fees
.......1!...~....Plbg. F..I
........../;L..t!:rJ!...Total
Date '-/- dl. 7~
=uØ;¡C~=::;~"'~;
$......................................................................
....... """ëΡ;ïT;~;;;;;"""""""""""""
In the performance of this work the undersigned owner (or his authorized agant) of said premises and his authorized Plumber hereby agree to be bounden by ...d
submit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It is futher agreed by the undersigned that no other usos will be made of tho above connections except as herei.after listed.
==~~=.:::.;
-~~---/.~----------