HomeMy WebLinkAbout0009589-Plumbing (lav & toilet)
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1 PLUMBING PERMIT - Oshkosh, Wisconsil?'¡
Name . i.~
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I Lo.I No. I Block I Ward
OUTSIDE WORK
Permil N<;? 9589
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I Addition Or Replat
Date
NIW SEW" WATER STORMS FEES FEES RElAY S. SEWER WATER STORMS FEES
From MaIn 10 C...b Septic Tank. From Main 10 Curb
Fmm C...b to BuDding Eleclric Pump. From C...b 10 Bunding
Repair
INSIDE WORK
NO.
NEW
UP.
NEW
NO.
FEES
NEW
UP.
USED
REP. 1 USED
FEES
USID
FlES
NO.
Bath Tub
Garbage DbpoAls
Ce1ch Bulos
.1-
/60
V"ÔO
WIIIh Bu;"
[Z
/
Dishwuhen
ConductO"
Gre... Cetch Bulos
Laundrameta
Weier CI_I
I--
Sink
Weier Softene..
Sump Pump 8< Ejeclors
Water Heete..
Sanitary Bubblers
UriDalo
Bar and Soda Wasles
Shower Beths
Floor Do-
Leundry Tube
Denial Cuspido..
Service Sinks
luped1ons
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Fee Verified. Receipled and Recorded
Received Permit and Inspection F-
::¡l~""'d..........Sewer Fees
Jf"~Ö:..Ö......Plbg. F..s
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City T,....,.,
.
In the performance of this work the undersigned owner (or his authorired agent) of said premises and his authorirad Plumber hereby agree to be bounden by and
submit to all statutes. city ordinance.. and rules and regulations prescribed by the Board of Public Works for Ihe government of Plumbers.
It is futher agread by the undersigned that no other uses will be made of the above connections except as herelnalter listed.
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Plumbing In..-.'
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STATE OF WISCONSIN)
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WINNEBAGO COUNTY)
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J!J L( ~J. ._/Jar-
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being first duly sworn on oath deposes and says that he is not
a licensed plumber, and that he has applied for a plumbing
permit to the Plumbing Inspector of the City of Oshkosh, to do
plumbing work in a ;'ome owned and occupied by him, or a home
that is being constructed that is owned by him, and which will
be eccupied by him as his home when completed. That he is not
building said heme for the purpo~eof sale.
This affidavit is made for the pUrpO$e of complying with
the provisions of the plumbing code of the City of Oshkosh and
the State of Wisconsin, 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 complies with the plumbing code of the City of
Oshkosh and the Stateef Wisconsin.
This affiant understands that the Plumbing work authorized
by the permit applied for, must be done only by this affiant and
that he cannot nmplo,/ others who are not licensed plumbers to
assist with the work.
Dated this _I-c:;z-ft¡day of -~~-.,---, 192&:
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