HomeMy WebLinkAbout0001731-Plumbing (water heater)
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Name
of
Plumber
" PLUMBING PERMIT - Oshkosh, Wisconsin Permil N~ 1731
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I Lot No. I Block I Ward I Addition or Replat
Date
OUTSIDE WORK
Naw $lWEI WATER STORMS FEES FEES RElAY S, SEWER WATER STORMS fEES
From MaIn 10 Curb Septic Tanks From Main 10 Curb
From Curb 10 Building Eleclric Pumps From Curb 10 Building
Repair
INSIDE WORK
~ NEW .... USIO flES NO, NEW RE'. USED FEES NO, NEW .... USED fEES
- ~ - -
Bath Tub Garbage Di8pooa]a Catch BulDs
- -
Wub Buin Dlshwuhen ~ Conductors
- - - -
Water CI_t I Laundramals .,/ ¡-- Greue Catch Buina
-
SIDk Water Sofleners Sump Pump II< Ejeclors
-L Watar Heaten / ;--- Sanitary Bubblers Bar and Soda Wules
Shower Balha Urinals
noor DraIIY Dental Cuspidon ~
- 1- - -
Laundry TuIoo Service Sinks
IDipect1o1U1 ~ :¡~--~:r:--=:~::_::::.:: Fee Verified, Receipled and Recorded Received Permit and Inspection Fees
------------------------------------------___Oulside ----------------------------Sewer Fees
------------------------.--.--------.---------------Inslde ¿I?;~;~:;'
$-----------------------------------.-----------------------------------
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---------.--------------Final OK $-----------------------------------------------------------....--------
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ordinance., and rules and regulations prescribed by the Boud of Public Works for the government of Plumbers.
'the undersigned that no other use. will be made of the above connections exc~pt a. hereinafter listed.
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STATE OF WISCONSIN)
) S5
WINNEB/\.GO COUNTY)
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\Address
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 wor'k in i) 'tome owned and occupied by him, or a home
that is being constructed that is owned by him, and which will
be occupieÔ by him:)s his home when completed. That he is not
building said home for the purpo~e 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 cf \"'iscor,sin, which provides that all plumbing work
must be done by a licBhsed plumber except that the plumbing work
may be done by one ~ho owns and occupies his own home providing
the installaUon co."pJ,ies with" the plumbing code of the City of
Oshkosh and the State of Wisconsin.
ThisaffiJnt understands th~t the Plumbing work authorized
by the permité!ppIii'd for, mu,st be done ynly by this affiant and
that he can"o.'; ("!¡'1plo~' others who are not licensed plumbers to
assist wi t:¡ the work, ...-v/ , '- /'. /" --- -- --' 19 --J /-" '
Dated "':his -t!Zù_- day of ~.k&.f:L- -//-,.
/-~KM¥--_-
Subscribed and sworn to before me
this ,~~" : ,day of!Ì~~ß~~l_, 19~.
N 0 tã~i~1in~ 0 u n t y7-WISëõñSTñ-
MY COMMISSION EXPIRES
My Commission, Expires :.,..-,-___.:!!lLY ~.¡..lga..L____-