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Plumber
P"'U,MBING PERMIT - Oshkosh, Wisconsin." ..',. Permit N~ 9478
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I Lot No. --I Block I Ward _I Addition or Replat
OUTSIDE WORK
Date
NEW SEwn WAT" STORMS FEES "'S "'AY S. SEW" WATE' STORMS FEES
From MaIn to Curb Seplic Tanks From Main to Curb
FJom Curb to BuUdlnsr Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO. NEW .... USEO FEES NO. NEW .... USED FEES tlO. N'W .... US'D FEES
- - - - -
Bath Tub Garbage Diopoqls Cetch Basins
-
Wub Basin Dishwashen - Conduclors
- /~
WatN ClOMt !/ /ø:- Laundr!lll1ats / Greue Catch Basins
Sink Water Softeners Sump Pump 8< Ejectors
Water Heate.. Sanitary Bubblers Bar and Soda Wasl..
ShoWN Batbo / ¡ð.J- Urineio
1-
Floor Drains Denial Cuapidors 1-
Laundry Tuba Serric:e Sino
Inapectionl ValuaUon of Ihe Work Herein Dea..ibed Fee Verified. Receipled and Recorded Received Permit end InapecUon Fe..
!/;fi~~=:.~-====::=-=:'=:::: =?~~~ $---_::3---~-~-~:-----~------------_._---- ----------------------------Sewer Fees
-~~--~---E').----_Plhg. F..a
$--- -----------------------------------------------...---------------.---- D~;:-----¥';=;;~
----------------.....----------Final OK $---------------------------.----.---------------------------------.----- ----------ëiiÿ-Ÿ;;;;;~;ë;---'------"-'----'------'
In the performance of thia work the undersigned owner (or his authorired agent) of said premlsea and his author ired Plumber hereby agree to be bounden by ..,d
aubmlt 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 as hereinafter listed.
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STATE OF WISCONSIN)
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.sÆ...~.--)' -~?£:.~M, --- / / '-I .L~ ~.~T~--
\Name -~~ss
WINNEBAGO COUNTY
being first duly sw()rn on o"th deposes and says that he is not
a licensed plumber. and that he has applied for a plumbing
permit to the Plumbing Inspe~tor of the City of Oshkosh, to do
plumbing wor-k in a hofT,e owned and occupied by him, or a home
that is being constructed that is owned by him, and which will
be occupied by him as his home when completed. That he is not
building said home for the purpose of sale.
This affidavit is made for the purpose of complying with
the provisions .of the plumbing code of the City of Oshkosh and
the State of v'.!isçonsin,' which provides that all plumbing work
must be done by a licensed plumber except that the plumbing work
may be done by one ~ho owns and occupies his own home providing
the installation coi;,plies with the plumbing code of the City of
Oshkosh and the State of Wisconsin.
This affi3ntunderstands that the Plumbing work authorized
by the permit appHae! for. must be done only by this affiant and
that he cannot employ others who are not licensed plumbers to
assist with the work,
Date? His ..s;;2~ day of ---..c:.;::.~~----, 19_1!£...
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Subscribed and
MÿComrnission, Expires ;----_.¿~ ~:.2z-