HomeMy WebLinkAbout0001097-Plumbing (kitchen sink)
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PLUM'iING PERMIT - Oshkosh, Wisconsin' \ Permil N~ 1097 X
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I Lot No.
I Block I Ward
1 Addition or Replat
Dale
OUTSIDE WORK
NEW SEwn WA'" STORMS fEES fEES 'ELAY S. SEWE. WA'" STORMS fEES
FOOII1 Main 10 C...b Septic Tanks From MaiD 10 Curb
From C...b 10 Building Electric Pumps From C...b 10 Building
Repair
INSIDE WORK
NO.
NEW
'EES
RIP.
USED
FlES
NO.
NEW
'EP. I USED
"'S
NO.
NEW
'EP,
USED
Bath Tub
Garbage DilpooaIa
Catch Basins
Wub Basin
Dilbwasben
Conduelors
WallW CI_I
LaundrlUll&b
Greue Caleb Basins
t--
SIrIk
.,/
Sump Pump" Ejeclors
j.l:O
Wale. Softeners
Wale. Healen
Sanitary Bubblers
Bar and Soda Walles
Shower Balho
UriDals
Floor Dralu
Denial Cuspidon
Laundry Tubs
Serrice Sinks
Valualion of Ibe Work Herein Described
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Received Permi! and Inspecllon F-
....,...... ............,Sewer Fees
,......../~'p"......,PIbg. F..s
D~~...j~=~7
Feo Verified. Receipled and Recorded
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In the performance of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to be bounden by ..,d
submit to all statutes. city ordinances. and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
:y the undersigned that no other uses will be made of the above connections except as hereinafter listed.
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STATE OF WISCONSIN)
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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 Flumbing Inspector of the City of Oshkosh, to do
plumbing wcr'k in a home 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 horr.e fer the purpose of sale.
WINNEBAGO COUNTY
This affidavit is made for the purpose of complying with
the provisions of thl' 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 ~ho owns and occupies his own home providing
the installation co~plies with the plumbing code of the City of
Oshkosh and the State of Whconsin.
This affi~nt understands that the Plumbing work authorized
by the permit app],ipcl for, must be done only by this affiant and
that he cannot employ others who are not licensed plumbers to
assist with the work,
Dated this 1-- day of
--~~~--~------, 19~~
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Subscribed and sworn to before me
this 211 day of ~---, 19.LJ::..
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My Commission Exoires; MY COMMISSION tXPIRË$
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