HomeMy WebLinkAbout0009261 P
~
)
N-
ot
Plumbe~
PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 9261
....!!LfL....&/l¥.-.................. ::!:r ....~~,jJ(M¥.V:~tr ......:¿QG.......~...~-
I Lot No.
I v I {/
Block Ward
OUTSIDE WORK
I Addition or Replat
Date
NOW S'W" WATER STORMS filS filS ."AY S. S'WER WATI. STORMS FE"
From MaIn to Curb Septic Tanks From Main to Curb
~ Curb to Building Electric Pumps From Curb to Building
Repair (j; /f 1//1
I
INSIDE WORK
NO.
NEW
,...
u,.
USIO
FE"
NO.
N'W
..,. I us,o
"ES
"O.
NEW
..,.
USEO
Batb Tub
Garbage DÏIpo8ala
Catch BRIm.
WRIh BRlin
DishwRlhera
Conductors
WatN CI_t
Laundramats
Grease Catch Buiœ
Sink
Water Softeners
Sump Pump Ik Ejectors
Water Heaten
Sanitary Bubblers
Bar and Soda Wastes
ShOWN Baths
Urinals
Floor ~1IinS
Leunclry TubR
Dental Cuspidors
Service Sinks
!f..1Jt.. ~1 ~:~ ~. .::~::.:::=.::
Fee Verified. Receipted and Recorded
I~:==~=-::::=~~::::=::::::::==::::::<>;;.::
Received Permit and Inspection F...
;1';....................Sawer Fees
.~-Q.t2.._.....PIbg. Fee.
....~..t:('þ........Total
Date tf// (J/:>4f'
$.
$..................................................-..................--
City T....u,.,
-"-ø...2T22..~C:==~~~"'~ ;.
-""-""""""'-"""""-"""""""""""
In the performance of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to be boundan by and
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 uses will be made of the abo~e connections except as...~~?~tël~/"~~~~'....... ....' ~c;-" .. .......
Plumba,
{/'
""""""'-"......-