HomeMy WebLinkAbout0001237-Plumbing (bathroom fixtures)
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PLUMBING PERMIT - Oshkosh, Wisconsin
11'- Name ~ Slreet
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N° X
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Permit
I Lot 11'0. r:-- I Ward
OUTSIDE WORK
l Addition or Re '-Iat
Date
NEW SEW" WAT" STORMS FEES FEES RELAY S. SEWER WATER STORMS fEES
From Main to Curb Seplic Tanks From Main to Curb
From Curb to Building E.eclric Pumps From Curb to Building I
Repair
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'if
INSIDE WORK
NO.
NEW
RE'. I USED
HES
NO-
NEW
REP. I USEO
FEES
NEW
USE.
fEES
"o.
REP-
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I
1/.170
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Garbage DispoE81s
Catcb Bullis
Bath Tub
Wub Buin
Disbwubers
Conductors
/. fJO
1/. 00!
Greue Catcb Bullis
Laundr-
Water CI_t
I--
Sink
Water Softeners
Sump Pump II: Ejectors
Water Heaters
Sanilary Bubblers
Bar and Soda Wastas
Shower Batha
Urinals
noor Drallls
Dental Cuspidors
Laundry Tub8
SerYice Sinks
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Received Permit and Inspection Fees
------------------------Sewer Fees
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---------------------c,;ÿ-ÿ;.;;-;;.;-------------------------- I D~;~--(J~7;.?~
agent) of said premises and his authorized Plumber hereby agrae to ba bounden by and
Valualion of tbe W_ork Herein Described
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Fee Verified. Receipted and Recorded
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In the performence of this work tho undersigned owner (or hi, authorized
submit to all statutes. city ordinances. and rules and regulations prescribed by the Soard of Public Works for the government of Plumbers.
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STATE OF WISCONSIN)
) SS
WINNEBAGO COUNTY)
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~~meJ . \~iess
being first duly sworn on oath deposes and says that he is not
a licensed plumber and that he has applied for a plumbing
permj:.t to the 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 occupieÓ by him"s 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 provision'; 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 ~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 Wisconsin.
This affi3nt understands that the Plumbing work authorized
by the permit applied for, must be d,one only by this affiant and
that he can"o': ec:ploy others who are not licensed plumbers to
assist with the work,
Dated tbis ~-= day of
~--...~------~-, 19;!~
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Subscribed and sworn to before me
this JY"3.t( day of Qp...,u.L__, 19.2e_,
--______zlD.::¡,Mii ~ I fj/;Jal!/L__~___--
N9tary publir,wIr¡,1íë ago County, Wisconsin
MY COMMiSSION EXPIRES
My Commission Expires;____-~~~~~~~~------