HomeMy WebLinkAbout1976-Plumbing (repair)
~~'!f
'\
/
N-
of
PhuDber
PLUMBING PERMIT - Oshkosh, Wisconsin
.........~.~:~ ::!:r .......(4~.....tt........ri..........._........
I Block I Ward
ParmI! N~ 9716
....... :~(r .!(¿l,s£..~L~-
I Lot No.
I Addition or Replat
Date
OUTSIDE WORK
NOW SIWEI WATER STORMS lEES FEES RElAY S. SEWER WATER STORMS FEES
From MaIn to Curb Septic Tanks From Main to Curb
FIelD Curb to BuDding Eleclric Pumps FrolD Curb to Building /
Repoir ¡/ It/ 00
INSIDE WORK
110.
NEW
USED
NEW
REP. I USED
lEIS
FEES
1<0.
NEW
RIP.
USI.
lEES
NO.
RIP.
_Tub
Garbage Dlo~
Catch Bulns
Wuh Bum
Dishwuhers
Conductors
Water Clooet
Laundramall
Grease Catch Basins
f-
Sink
Water Sofleners
Sump Pump Ik Ejectors
Water Heaters
Sanllary Bubblers
Bar and Soda Wastes
ShowerBatb8
Urinals
Floor Dralu
Dental Cuspidors
Leundry Tubs
Senice 5mb
Impec:lionl
..................---...-................-.........Oullide
~lJji~=~=:=:~~~:~
Va.12"tion of the Work Herem De.cribed
-If5ð~ 6'7;1
$............-........................................-....................
~
Fee Verified. Receipted and Recorded
Received Perml! and In.pection Fees
.../-:-.Ò-Ò-........Sewer Fees
.~.........u........Plbg. F..s
...~...t2'L....Total
. i(-£.2f:z
"""'ëiiÿ'T;.¡.~;ë;""""""""""'u",
$......................-..........................-..............-..-....
Date
In the performance of this work the undersigned owner (or hi. authorized agent) of .aid prem!.a. and hi. authorired Plumber hereby agree to be bounden by and
submit to all .tatute., city ordinances, and rule. and regulation. prescribed by the 8...rd of Public Work. for the government of Plumbers.
=~~ß~~:i~~..~~i.:.:.:.:..:.:.:...:.:::..:........_........