HomeMy WebLinkAbout0009480-Plumbing (water heater)
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PUJMBI'NG PERMIT - Oshkosh, Wisconsin
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I Block I Ward
OUTSIDE WORK
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Permit N~ 9480
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I Lot No.
¡ Addition or Replat
D81.
NEW Slwn WATER STORMS fEES FEES RELAY $- $EWER WATER STORMS FEES
From Main 10 Cwb Seplic Tanks From Main 10 Curb
~m Cwb SrI Bundln" Eleclric Pumps From Cwb 10 Building
Repair
INSIDE WORK
MO.
NEW
U$ED
flU I NO.
NEW
FEE$
NO-
NEW
FlE$
REP.
USED
REP. I USID
RIP.
Bath Tub
Garbage Dilpooa!s
Ca1ch Bulns
Wuh Buin
Dishwuhen
Conducloro
Wa1er Closet
Launc1rama1s
Greue C81ch Bulna
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SIDIo:
W81er Soften.ro
Sump Pump" Ejeclors
Waler H.81...
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Sanilary Bubblero
Bar and Soda Wastes
Shower BUbs
Urinals
noor Drains
Denial Cuspido..
Laundry Tullo
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Service Sinks
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Valualion of Ihe Work Herein Described
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Fee Verified, Receipled and Recorded
Received Permit and Inspaellon Fees
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City T<e"""
In the performance of this work the und.rsigned owner (or his authorized agent) of said premis.s and his authorized Plumber hereby agree to be bounden by and
submit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It is luther agreed by the undersigned that no other uses will be made 01 the above connections except as hereinafter listed.
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STATE OF WISCONSIN)
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\Namo¡ \Address
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 Plu"lbin9 Inspector of the City of Oshkosh, to do
plumbing work in a ¡wrne owned and occupied by him, or a home
that i~ being constructed that is owned by him, and which will
be occupieci by him as his home when completed. That he is not
building said home for the purpose of sale.
WINNEBAGO COUNTY
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!isconsin, which provides that all plumbing work
must be done by a licensed plumber except that the plumbing work
may be done by are vho owns and occupies his own home providing
the installation complies with the plumbing code of the City of
Oshkosh and the State of Wisconsin.
This affiont understands that the Plumbing work authorized
by the permit applied for, must be done only by this affiant and
that he can~ot E!mplo'l others who are not licensed plumbers to
assist with the work,
Dated this J_-
day of ~C/__2 19. 'p/,.
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before me
Subscribed and sworn
this' _L day of
N~tãrY-~~n. Þãg
My Com~ission,Expires:_--_.~;2:~~:~2f_-