HomeMy WebLinkAbout0009291-Plumbing (bathroom fixtures)
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PLUMBING PERMIT - Oshkosh, Wisconsin
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I Lot '.0. , I Block 1 Ward
OUTSIDE WORK
Permit N? 9291
51r..1 /.
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l Addilion or Replal
Date
NIW
SEW"
STORM'
'EES
'.LAY
S. ,.w.,
STORM' )j~
WAT.'
WAT.'
,..,
From M81n 10 Curb
Septic Tanks
From Main 10 Curb
From Curb 10 BuDding
Electric Pumps
From Curb 10 Building
Repair
INSIDE WORK
NO. NEW "P. USED ".S NO. NEW 'EP. US.D ..., "O. NEW '.P. USED ".S
/ /ß( - - - -
BathTub Garbage Diapooa!a Catch Bolns
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Wub Boin /.OC Diabwohen Conductors
- - - - -
Wat"" CIOl8t I 1;'00 Laundramaia Grease Catch Bolns
Sink Water Softeners Sump Pump 8< Ejeclors
Water Heate.. Sanitary Bubble.. Bar and Soda Wasles
Show"" Baths Urinals
Floor Dr"'" Denial Cuspido..
Laundry Tubs Service Sinks
Inspecl1ons V1;ation of Ihe Work Herein Described Fee Verüied. Receipled and Recorded Received Permit and Inspecllon F-
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In the performance of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to be bounden by and
submit tD all statutes, city ordinances, end rules and regulations prescribed by the Board of Public Works for the government of PI~mbers.
" Is futher agreed by the undersigned that no other U50S will be made of the ebove connections except as herei
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STATE OF WISCONSIN)
) 55
WINNEBAGO COUNTY)
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being first duly SWCrn on oath deposes i'Jnd Si'Jys thi'Jt he is not
a licensed plumber and that he has applied for a plumbing
permit to the n') Inspector of the City of Oshkosh, to do
plumbinq werle in a home owned and oocupied by him, or a home
that is being constructed that is owned by him, and whioh will
be occupieci by him ",E his home when completed. That he is jot
building said hon,e for the purpOse of sale.
This affidavit is made for the purpose of complying with
the provisions of the pl~mbing code of the City of Oshkosh and
the State of V"isconsin, which provides that all pl\,!mbing work
must be done by a licQnsed plumber except that the plumbing work
may be done þyone ~ho owns and occupies his own home providing
the installation coœpHes with the plumbing code of the City of
Oshkos h and the St-" te of Wis consin.
This Bffiant understands that the Plumbing work authorized
by the permit applied for, must be done only bY,this affiant and
that he çanr.o': f!ê'iplov others who are not licensed plumbers to
assist with the work. '
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D,t,d thh Lt- d'y of ~' 19~.
S'b"ribed "d ,wom to b'f":~------
~ this -.Liz day of -~~, 19 ?~"
'ÑÕ&~r~~ounty:- \!lis ëõñšIi1
M C . . E. MY COMMI$SØt, EXf'IR£$
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