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HomeMy WebLinkAbout0008275-Plumbing (interior) ~ ) ) N- ot Plumber ~.- PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 8275 0 -i- ~ Name '/) IJ ¡J n ¡J rr!:.eet  --..._-------_.~~-_._.....__._-- O~er m__b~~~_.~~~ber _/f',J,£~..~4ft"rl , ((~ ¡ LoJ No. I Block I~Ward OUTSIDE WORK ¡ AddUion or Replat Date NEW SEWEI WAIER STORMS 'EES ms RElAY S. SOW'R WATER STORMS "ES From MaiD to Curb iJ 1/ rI"r J#/h H¿'L /1/ Septic Tanks From Main to Curb From Curb to Building lA' =If Eleclzlc Pumps From Curb to Building Repair INSIDE WORK NO. NEW RIP. USED "ES NO. NEW REP. -I USED I 'EES NO. NEW REP. I USED 'EE. Bath Tub Ga:tbage DI8pooaIs DIsh..""h... Catch Bulm Wub Buin Wet... CI_t Conductors /11-1 /. q~ Laundramatll Grease Catch Bulna SIDII: / /.6() Water Softefte.. Sump Pump 8t Ejectors Water Haeters 7 Bar and Soda Wutes ;'Ob Show... Baths SaftÜary Bubbls.. Urinals Floor Dralu / Dental Cuspidors ¡.. ó{) Laudry Tubs Service Sinks Iupect1o~ß/6- ~ Val¡,1ation of the Work Herein Described Fee Verified. Receipted and Recorded Rece!Jed- Permit and Inspection Fees _m.__~~_.__Outside $ ..If f!¡. a, (j .Q -_..lA-.,$,.:..9.I;)..-Sewer Fees 7~ :=-=-==:==---'"'~=---- ~J;1' - In the performance of this work the undersigned owner (or hi. euthorized agent) of .oid premise. ol\d hi, authorized Plumber hereby agree to be bounden by end submit to all statutes, city ordinance., and rules and regulations prescribed by the B?ard of Public Work. for the government of Plumbers. Jt Is fulher agreed by the undersigned that no other uses will be mode of the above connections ex.ept ~1 }í'o.einafter listed. ._,..=-~.._.._.__.._- PLm-æniG INSPECTION A..1"FIDA VIT ! I '8 ;l õ t.d €. :;/- ,{,;, <../ eJi/ O/f' , CERTIFICATE OF CO~œLDl~CE WI~q STATE OF Wisconsin PLUMBING CODE I, HEREBY CERTIFY THAT ALL PLm-æING IN BAT'rl CORE SERIAL NO. 75-110, l~STALLED \<lITEIN A WICK HOHE IS IN ACCORDANCE 'dITH TB:E STA'I'E OF - Wisconsin FLU'ABING CODE. ALSO, THAT TB:E DRAINAGE AND VENT PIPING HAS BEEN HATER TESTED \VIT'rl 4.35 LES./SQ. IN. OF BEAD PRESSURE FOR A PERIOD OF ONE-HALF HOUR. THE WATER SUPPLY PIPING HAS BEEN TEST- ED \UTIl MAZONANIE, HISCONSIN CITY \-lATER PRESSURE (APPROX: 90 LEs.) - OJ 1d qJ ß.L1 SIGNATU~1 ' FOR A PERIOD OF ONE-FALF HOUR. DATE May 23. 1975 MASTER PLm-mER TITLE 5477 LICENSE NO. TIllS j ÞJJ TI9 1(. (J ÞII(./J { 7 ,,:tv' -' !JI- NOTARY PUBLIC, DANE CO-, ,TY, HISCONSIN MY cœ:nSSION EXPIRES'i/ If ,19i!L. SUBSCRIBED AND S,IOill'f TO BEFORE ME " DAY OF --;J;utf tl ¡' ) " " ~, '. .;: