HomeMy WebLinkAbout0001599-Plumbing (fixtures)
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PLUMBING PERMIT - Oshkosh, Wisconsin
Name ~~ ~~ Street
4 of /,/ " and
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OUTSIDE WORK
Permit
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I Addition _or Re¡>lat
DÚ8
NEW SEW" WATE' STORMS fEES fEES 'ELA' S. SEWE' WATE. STORMS fEES
From MaiD to Curb Septic Tanks From MaiD to Curb
""'m Curb to Bulldlng Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO. NEW UP. USED "ES NO. NEW 'EP. USE. fEES tlO. NEW 'EP. USE. fEES
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I Bath Tub v (~ Garbage DilpoaaIs Catch Bubls
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J Wub Buin V (/ Dilbwuhon Conducto..
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/ Wafer Cl_t if // Laundramab Grease Calch Bubls
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L SIDk v ,....- Waler Softone.. Sump Pump 8< Ejectors
WÚ8r Healon Sanitary Bubble.. Bar and Soda Wutes
Shower Ba!ba Urinals
Floor Drabul Dental Cuspido..
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Laundry Tube Servic:e Sinks
laapec:tloaa Valuation of the Work Herein Described Fee Verified. Receipted and Recorded Received Permit and InspectIon FOOl
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In the performlnce of this work the undersigned owner (or his luthorized agent) of said premises Ind his luthorized Plumber hereby Igree to be bounden by and
submit to III statutes, city ordi Inc.., and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It is futher agreed by t.!>éj. dersigned thlt no other uses will be made of the Ibove connections except as hereinaltor 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~ h~s applied fo~ aplumb1ng
permit to the Plumbing Inspector of the City of Oshkosh, to do
plumbing WOI~ in a home owned and occupied bY him, or a home
that is being constructed that is owned by him, and which will
be occupied by him as 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 of 'i'isconsin, which provides that ¿¡ll plumbing work
must be done by a licensed plumber except that the plumbing work
may be done by one vho owns and occupies his pwn home providing
the installation coæplies with the plumbing code of the City of
Oshkosh and the :';-'>JÜ, of Wis consin.
This affient understands that the Plumbing work authorized
by the permit i'1ppJ.i,od for, must be done only by this affiant and
that he cannot emplov others who are not licensed plumbers to
assist with the work,
Dated this I~:: day of ~~~~, 19¥
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Subscribed and sworn to before me
this J.sßday of -~-;;-:---, 192f: ' ~
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Notary~t~w~~gO County, Wisconsin
lilY COMMISSION EXPIRES
My Commission,Expires:_--__~~~~~1981______-