HomeMy WebLinkAbout0001053-Plumbing (kitchen sink)
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PLUMBIN.G PERMIT - Oshkosh, Wisconsin
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'Permit N~ 1053
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H..... /f) Name . ~ I ~
of ~ of /-'.¿.d --t->
Plumber ----------_____m___--__--____m--_____-----------m__----_,------,--- Owner ~-----,----------, - --------------- ____m_--____--_----___m---
Street
N:"':ber mmdO..!.!.-----
l Lot No.
I Addition or Rel'lat
I Block I Ward
Date
OUTSIDE WORK
NIW slWn WATE' STORMS FEES FEES .EIAY S, SEWE. WATE' STORMS FEES
From M8in to Curb Septic Tanks From Main to Curb
From Curb to Bullding Eleclric Pumps From Curb 10 Building
Repair
.
INSIDE WORK
NO.
RIP, I USEO I FI.. I NO.
FEES
NEW
NEW
'EP. I USE.
FEES
"O.
NEW
.EP.
USE.
Bath Tub
Garbage Dilpoaa]o
Catch BullIS
f--
Wuh BulD
Dishwuhers
Conductors
Wlllar CI_t
Laundramllls
Graue Clllch BullIS
SIDk
11....1
/rd
f--
Wilier Softeners
Sump Pump" Ejectors
Water Hellle..
Sanitary Bubblers
Bar and Soda Wasles
Shower Baths
noor Dr8lDa
UriDe1s
Dental Cu.pidors
Laundry Tuba
~~:::_-------____---..m--___----Outslde
I~~
Service SlDks
Valuation of the Work HerelD Described
$", --_/¿-~:__--_~_mm____--__m_m____m___-
.
Fee Verified, Receipled and Recorded
Received Permit and Inspection Fe..
m------m--m-----Sawer Fees
mml.:--~--__Plbg. F...
mmj:-~m--Total
,;(.-J.~' 7$'
--------------..---------------------------------Inside
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---------------ë-,i:¡Ÿ;;;;u;;;--__mm----____--------
Date
------------------------EiDa1 OK
$m__m--_-------mm__m--m_m----___--m_m-------------------
In the performance of this work tho undersigned ownor (or his authorized agent) of said premises and his authorized Plumber hereby ogroo to bo bounden by and
submit to all statutes, city ordinances. and rules and regulations proscribed by the Board of Public Works for the government of Plumbers.
~~~~~~.m~~~ '1-"~'iiJ;ij:~-- ----
STATE OF WISCONSIN)
) SS
WINNEBAGO COUNTY)
-~~. T.--. ~ ~~---, ----
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:J 0 /~U -aJ£ ¿Ldi-,
\Addres~
being first doly sworn ono~th deposes and says that heis not
a licensed plombsr. and that he has applied for a plumbing
permit to the Plumbing ¡n~pector of the City of Oshkosh, to do
plumbing we-Ik in a ;,ome owned and occupied by him, or a home
that is being constructed that is owned by him, and whiçh will
be occupiecì 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 exoept that the plumbing work
may be donG by OnE? vho owns and occupies his own home providing
the installation coæplies with the plumbing code of the City of
Oshkosh and the State of Wisconsin.
This affi?nt undGrstands that the Plumbing work authorized
by the perm5- é~ppIi(od for, must be done only by this affiant and
that he can,.,o~; ei"plo:' others who are not licensed plumbers to
assist with the work.
Dated this --:Lt.J- day of -_._-~~~-, 19Z~.
~1l~~~--
Subscribed and sworn to before me
this $L/.Uday of Ed~, 19%.
ÑÕt"ã;¡:y Pu brt?~¡fj~~\I!Išcoñš in -
-~ COMMISSION EXPIRES
My Commission Expires ,__--.:.:':!.LY ~~~~----