HomeMy WebLinkAbout0009635-Plumbing (laterals)
.....,
')
,,)
Dale
PLUMBING PERMIT - Osh~osh, Wisconsin Permit N? 9635
-z..9'J?&J~ Z~~ _¿kJ6Žn, .
l LoJ No. I Block I Ward LJ\(\c ion or Replat
OUTSIDE WORK
NEW SEWEa WATER STORMS FE" FEES RELAY S. SEWER WATER STORMS FEES
From MaIn to Curb Septic Tanks From Main to Curb
From Curb to BuDding J-./." ('J j"e! ~ Electric Pumps From Curb to Building
Repair
INSIDE WORK
,
NO. NEW u,. USEO FlES NO. NEW RE,. USED FEES NO. NEW RE,. USED FEES
BaIb Tub Garbage D~ Catch Bullis
-
Wub BuiD Dishwuhers Conduclon
- - -
W- Cl_t LaundramaIR Gre... Calch BulDa
-
Slak Waler Softenen Sump Pump Be Ejector.
W- Healen Sanitary Bubblers Bar and Soda Waste.
Shower Balbo UriDela
Floor DraIDs Dental Cu.pidon
Laundry Tubs SerYice SiDb
IlIIP8CÜons Valuation of the Work HereiD Described Fee Verified. Receipted and Recorded Received Permit and Inspection Fees
---.-----------------------------------Oullide 5----';;z-£Q-_:._-~--------------------------------- ------¿¡,--~---Sewer Fees
------------------------------------------------------Inside :::::::::d:~::; F...
=~7.i;¡¡lk:::==:::::=:;~---~; 5-----------------------------------------------------------------------
5------------------------------------------------------------------- ------- ----------------CI¡;ïT;~;~;ë;-------------------------- Date //-...3. 7 ~
In the performance of this work the undersigned owner (or his authorized agent) of .aid premise, and hi, 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 uses will be made of the above connections except a, herelndtar listed.
-------9z22?'.t;a/.-~-----/-~------------
-----,-~--~~:2~~~Æ~~i~_::_::_::::__:::__:---:::_~_:~_:_:_:::
'Iumblng '"'-~.e.