HomeMy WebLinkAbout0001302-Plumbing
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PLUMBING PERMIT - Oshkosh, Wiscon,sin Permit N<;? 1302;;<'
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OUTSIDE WORK
I Addition or ReplBi
NEW SEWEI WATER I S'ORMS FEES FEES RELAY S. SEWER WATER S'ORMS lEES
From MaIn to Curb Septic Tanks From Main to Curb
From Curb to BuDding ~ Electric Pumps From Curb to Building
Repair
INSIDE WORK
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Garbage Dilpon]a
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Dilbwuhers
Conductors
Water Cloeet
Laundramm
Greue Catch BuÙUI
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Sink
Water Softeners
Water Heaters
Sanitary Bubblers
Bar and Soda Wutes
Shower Baths
Urinala
Dental Cuspidors
Floor DraiDa
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LaUDdry Tube
Serrice Sinks
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Fee Verüied, Receipted and Recorded
Received Permit and Inspection Fees
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In the performence of this work the undersigned owner (or his euthorized agent) of said premises and his authorized Plumber hereby agree to be bounden by and
submit to all statutes, ci~o°rdinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
e 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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WINNEBAGO COUNTY)
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being first duly SWOrn on oath deposes and says that he is not
a licensed plumber, and that h~ has applied for a plumbing
permit to the Plu~bin9 Inspector of the city of Oshkosh, to do
plumbing wcrk in iJ horne owned and oc'cupied by him, or a home
that is bein~1 constructed that is owned by hi¡n, and which will
be occupieC: by him9s 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 ofV"iscor-sin, which provides that all plumbing work
must be done by a licensed pl~mber except that the plumbing work
may be done by or-e ~ho owns and occupies his own hOmB providing
the installation complies with the plumbing code of the City of
Oshkosh and the State of Wisconsin,
This understands that the Plumbing work authorized
by the applied for, must be done only by this affiant and
that he car-not emplo~ others who are not licensed plumbers to .
assist with the worK.
Dated thi s
day of -----------------------' 19____,
Subscribed and swor~ to befor~e
this ----- day of -----------' 19____,
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