HomeMy WebLinkAbout0001322-Plumbing
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PLUMBING PERMIT - Oshkosh, Wisconsin I
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OUTSIDE WORK
I Addition or Replat
Date
NEW SEW" WATER STORMS 'EES lEES RELAY S, SEWER WATER STORMS lEES
From MeIn to Curb Septic Tenks From Main to Curb
FJom Curb 10 BuUcIlng Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO.
NEW
UP.
NEW
REP, I USED
NEW
fEES
REP,
USED
'EES
NO,
US..
HES
NO,
Batb Tub
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Serneo SIDks
Catch Bullis
Garbag.. Diopooals
Dioh..uhen
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1/ I-v~
Conductors
Wub BulD
G...... Catch Bullis
Laundr81D1Û8
Water Cl_t
-~
Sink
Water Softeners
Sump Pump Ik Ejectors
/.
Water Heate..
Sanitary Bubblers
Bar and Soda Wastes
Shower Baths
UriDals
Floor DraIDa
Dental Cuspido..
Laundry Tubs
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Valualion of the Work Herein Described
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Fee Verified, Receipted and Recorded
Received Permit and Inspeclion Fe..
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City Tree,"",
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In the performsnce of this work the undersigned owner (or his authorized agent) of said premises and his authorizad Plumber hereby agree t~ be bounden by and
submit to all statutes, city ordinance., and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It Is futher agread by the underslgnad that no other uses will be made of the above connectio
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STATE OF WISCONSIN)
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beìng first duly swcrn on oath deposes and says that he is not
a licensed plu~ber. ~nd that h~ has applied fora 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 constn.;cted that is owned by him, and which will
be occupieÔ by him es his home when completed. That he is not
building said home for the purpose of sale.
WINNEBAGO COUNTY
This affidavit is mede for the purpose of complying with
the provisions of thE plumbing code of the City of Oshkosh and
the State cf Wisconsin, which provides that all plumbing work
must be done by a licensed plumber except that the plumbing work
mey be done by onG vho owns and occvpies his own home providing
the installaUon coIT-pl.ies with the plumbing code of the City of
Oshkosh and the St3.t() of Wis consin.
This affi?nt understands that the Plumbing work authorized
by the permi applied for, mvst be ~one only by this affiant and
that he cao"'-o': p,c-'plo'1 others who are not licensed plumbers to
assist wi th the work" ~
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Subscribed and sworn to before me
this ~~day of -~--' 19~~_.
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Not;;¡ry Pubfrç;vr;¡n#ëbagO County, Wis consin
NY COMMISSION EXPIRES
My Commission, Expires:--__J~~~~~-------