HomeMy WebLinkAbout0009136-Plumbing (kitchen sink)
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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N'?
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9136
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Addition or Replat
r::-- I Ward
Dal.
OUTSIDE WORK
NIW sown WATER STORMS FEES 3 -, S. SEWE. WATE. STORMS FlES
From MaID 10 Curb Septic Tank. From Main 10 Curb
From Curb 10 BuUdIosr Eleclric Pumps From Curb 10 Building
Repair
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Received Permit and lnopecllon F-
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Dale f? A'76 /,
INSIDE WORK
NO.
NEW
USIO
NEW
.IP. I USED
NEW
FIE.
NO.
HIS
NO.
RIP.
Bath Tub
Garbage Dlspooah
Dishwashen
Calch BuiM
I--
Wuh BasiD
Conducloro
Wal.. CI_t
Laundramale
Greue Catch BuiDo
Sink
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%°0
Water Soflen...
Sump Pump" Ejectors
Water Healers
Sanilary Bubbler.
Bar and Soda Wasles
Show.. Baths
UriDels
nOOl' Dr8lns
Dental Cuspidors
Leunc!zy Tubs
Inspectiono
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Service SiDks
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Fee Verified. Recelpled and Recorded
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City T,...u'"
.IP.
USED
fEES
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In the performence of this work the undersigned owner (or hi. authorized agent) of ..id premi.e. and hi. authorized Plumber hereby agree to be bounden by 8lId
submit to ell statutes, city ordinances, and rules and regulations prescribed by the Board of Public Work. for the government of Plumbers.
! I. futhar egreed by the undersigned that no other use. will be made of the above connections except a. hereinaltar listed.
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Plumbing In_'
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STATE OF WI~CONSIN )
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td.!dt~~- (J -LL~k-"",-- ' ;d.f:-;{J ~~-.s¿-, ,....----~-
lName~- \Address¡
WINNEBAGO COUNTY
being first duly sworn on oath depbses and says that he 1s not
a licensedplumbor. and that he has applied for a plumbing
permit to the Plu,,\b.in<] Inspector of the City of Oshkosh, to do
plumbing work in a home owned and occupied by him, or a home
that is being constructed that is owned by him, and which will
be cccupied by hIm as his home when,completed. That he is not
building said home for the purpose of sale.
Thisaff~davit is made for the purpose of complying with
the provisionsQf the plumbing code of the City of Oshkosh and
the State cf Wiscon~,in, which provides that all plumþing 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 install;;¡tion complies with the plumbing code of the City of
Oshkosh and the State of Wiscon~in.
This understands that the Plumbing work authorized
by the permit appJ.ied for, must be done only by this affiant and
that he cannot mnplo~ others who are not, licensed plumbers to
assist with the work,
Dated this 2...,{- day of _~L~ -------' 19Zk.
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SUbS, cribed, an,d s\,I/Or~~ef~,n j~e,fOre m, e
this -~ daY-,of ~-' 19_2~,
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