HomeMy WebLinkAbout0001384-Plumbing (vent)
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PLUMBING PERMIT - Oshkosh, Wisconsin r
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I Lot No, I Block I Ward I Addition or Replat
OUTSIDE WORK
1384 X
Permit
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Date
NIW $Iwn WATER STORMS FEES FEES RElAY S- SEWE. WATE. STORMS fEES
From MaIn to Curb Seplic Tanks From Main to Curb
~m Curb to Bundlng Eleclric Pumps From Curb to Building
Repair
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INSIDE WORK
NO. NEW REP. USED NES NO. NEW .E,. USEO FE" "O. NEW RE,. U$lO fEES
- - - -
Bath Tub f------ Garbage DlapooaJo Catch BulDs
- -
Wub BulD Dishwuh... Conducto..
- - - - -
Water CIOMt Laundramab Gre.... Catch BulDs
-
SiDk Water Softene.. Sump Pump" Ejectors
Water Heaten Sanitary Bubblen Bar and Soda Wutes
Shower Bathl UriDala
Floor Dr" Dental Cu.pidon
Laundry Tube Senice Sinks
Inspeclioll8 Valualion of the Work Herein Described Fee Verified. Receipled and Recorded Received Permil and Inspection F...
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.ubmlt to all statutes, city ordinances, and rules and regulations prescribed by the Boud of Public Work. for the governmont of Plumbors,
~ndorslgned that no other use. will bo mode of the above connection. except a.
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STATE OF WISCONSIN
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WINNEBAGO COUNTY
(J-Z;fl?G[ !tdPE
(Name)
r-2o:3b ])¿)/y 5r
(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 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 Wisconsin, 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.
Dated this ~ day of ~.~ ~. 19 7/
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Subscribed and sworn to before me
Chi" r2fl,J;l. ~ of ~~ .. 19jL.
r;jHø )LANI
Notary Public, ~~ago County, Wisconsin
MY COMMISSION EXPIR~§
JULY 20, 1981
My Commission Expires: