HomeMy WebLinkAbout0001600-Plumbing
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'\" PLUMBING PERMIT - Oshkosh, Wisconsin P:~mit N~ 1600
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I Lot Ho. I Block I Ward I Addition or Replat
OUTSIDE WORK
Date
NIW SIWEt WATIR STORMS fEES FEES RELAY S. SIWER WATER STORMS '""S
From MaIn to Curb Septic Tanks From Main to Curb
From Curb to Building Electric Pumps From Curb to Building
Repair
INSIDE WORK
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Water Softeners
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Bath Tub
Garbege DiIpooaIs
Catcb Basins
Conductors
Wub Basin
Dlshwashon
Grease Catch Basins
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LaundramatJI
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Watar Clooot
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Sump Pump 8< Ejectors
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sanUary Bubblers
Urinaia
Bar and Soda Wasles
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Water Heat...
Showar Batha
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Dental Cuspidors
Floor DralJuo
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Service Sinb
Laundry Tubs
VeluaUon of the Work Herein Described Fee Verified. Receipted and Recorded Received Permit and InspecUon Fe..
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In tho performance of this work the undersigned owner (or his authorizad agent) of said premises and his authorized Plumber hereby agree 0 be bounden by and
Inspecliol1S
It Is futher egroed by the und~gned thet no other uses will be made of the ebove connections except a
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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 he has applied for a plumbing
permit to the Plumbing 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 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 V'.'isconsin, which provides that all plumbing work
must be done by a licensed plumber except that the plumbing work
may be done by one who 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 affiant understands that the Plumbing work authorized
by the permit applied for, must be done only by this affiant and
that he cannot employ others who are not licensed plumbers to
assist with the work. ~
D.to' th" L ',y of ~~ .
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Subscribed and sworn to before me
thiS'~ day of , 19jìdf_.
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Notary PubllC, i nebago Countvs1 Wisconsin
MY COMMIS' ON EXPIRE!;
My Commission Expiresg_--__~~~------