HomeMy WebLinkAbout0001100-Plumbing (toilet)
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PLUMBING PERMIT - Oshkosh, Wisconsin Pe.mit N~ lLOO
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I Lot No. I~ I Ward
OUTSIDE WORK
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Date
NOW SEW" WATER STORMS fEES FEES RELAY S. SEWER WATER STORMS fEES
From MeiD to Curb Septic Tanks From Main to Curb
From Curb 10 Building Electric Pumps From Curb to BuUding
Repair
INSIDE WORK
NO.
NEW
fEES
UP.
USED
flES
NO.
NEW
REP. I USED
fEES
NO.
NEW
REP.
USID
Bath Tub
Garbage DÌI~
Catcb Basins
Wash Basin
Dishwashan
Conductors
I
,./
G.e.... Catch Basins
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I.ðt>
Laundramats
Water CI_t
Sink
Water Soflenors
Sump Pump" Ejectors
Wete. Heate..
Saniluy Bubblors
Bar and Sodo Wastes
Shower Batba
U.inals
n..... Dr8Ù18
Dental Cuspidors
Laundry TubI
Service Sinks
Inapoct1olUl Valuation of the Work Herein Described Fee Verified. Receipted and Recorded Received Permit and Inspection Foes
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In tho performanco of this work the undersigned owner (or his authorized egent) of .aid premises and his authorized Plumber hereby agroe to bo boundon by and
submit to all statutes, city ordinances, and rules and rooulation. proscribed by the Board of Public Work. for the government of Plumbers.
undersigned that no otheT uses will bo made of the above connections except as hereinaltar lI.ted.
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STATE OF WISCONSIN)
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~=~ë -----~Addre~
WINNEBAGO COUNTY
being first duly Sworn on oath deposes and says that he is not
a licensed plumber, and_that he has applied for a plumbing
p~rmit to the FÜE1binq Inspector of the City of Oshkosh, to do
plumbing work in a ;iome owred and occupied by him, or a home
that is 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 heme for the purpose of sale.
This effidavit is made for the purpose of complying with
the provisions of the plumbing code of the City of Oshkosh and
the State of ¡"'isconsin, which provides that all plumbing work
must be done by a licensed plumber except that the plumbing work
mBy be done by one vho owns and occupies his own home providing
the installation cci,-pHes with the plumbing code of the City of
Oshkosh and the State of Wisconsin.
This understands that the Plumbing work authorized
by the for, must be done only by this affiant and
that he others who ~re hot licensed plumbers to
assist with the work.
Dated "tris
.x tL day 0 f -_._!!l~---------, 192£- .
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Subscribed and sworn to before me
this _?1L day of -¡?~~L-_' 19~~.
ÑÕtãry p72~ ~ii.~Øfo~ WfScõñšTn
MY COMMISSION EXPIRES
My Commission, Expires ,____..::'ULY~.:..:.::!.:_-----