HomeMy WebLinkAbout0001304-Plumbing (bathroom fixtures)
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[\ PLUMBING PERMIT - Oshkosh, Wisconsin
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I Block _I Ward
Permit
¡ Lot Ifo.
I Addüion or Replat
Date
OUTSIDE WORK
NOW SEwn WATE' STORMS lEES 'EES .EIAY S. SEWE' WATER STORMS "ES
From MaIn to Cub Septic Tank. From MIÛn to Curb
From Curb 10 BaUdlng Electric Pumps From Cub to BuUcling
Repair
INSIDE WORK
NO.
NEW
RIP.
NEW
NO.
"ES
NEW
REP-
'EP. I USE.
lEES
USE'
USEO
"ES
NO.
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Garbage DÙlpooa]o
Catch Basins
BathTub
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DÙlbwuhen
I~-
Conducto..
Wuh Bum
Greue Catch BuiDs
LaundrlUDlW
WIIi.. Cl_t
Sink
Wilier Softene..
Sump Pump Be Ejectors
Wilier Hellien
Sanitary Bubblers
UrinaIs
Bar and Soda Wute.
Show.. Baths
noor Dralu
Dental Culpidon
Laundry Tub8
Service Slnka
~:~":_--------------------_____Oubide :a~:~~~~r_:_=:~::_::~=_:: Fee Verified. Receipted and Recorded R~:;~;:=it:::e~ns:::.tion F-
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In the performance of this work the underoigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to be bounden by end
lubmlt to all statutes. city ordinance.. and rules and regulations prescribed by Ihe Board of Public Works for the government of Plumbers.
:y Ihe undersigned thai no olher uses will be made of the above connections excepl as hereinafter lisled.
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STATE OF WISCONSIN)
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~~ëi~~-~'" , _V ~- ê ~~rëSŠ-T~---~--
WINNEBAGO COUNTY
being first duly SW()rn on oath deposes and says that he is not
a licensed plumber. and that he has applied for a plumbing
permit to the Plu~bing Inspector of the City of Oshkosh, to do
plumbing wl'r-k in a 'corrie owned and occupied by him, or a home
that is being constructed that is owned by him, and which will
be occupieci by him;:s hi~ h()me when completed. That he is not
building said ho",<:) fc-¡' the purpose of sale.
This affidavit is made for the purpose of complying with
the provisions of the plumbing c6de of the City of Oshkosh and
the State of ~iscon~in, which provi~es that all plumbing work
must be done by a licensed plumber except that the plumbing work
may be done by one ~hoowns and occupies his own home providing
the installation complies with the plumbing code of the City of
Oshkosh and the State of Wisconsin.
This effbnt undc¡rstands that the PLumbing work authorized
by the permit applied for, must be done only by this affiant and
that he cannot emplo~ others who are not licensed plumbers to
assist with the wcrk-
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Subscribed and sworn to before me
thi, 3IrJ '" Pf, ~-' 192t.,
Nõtëry p~~~~bagO CQ~~;-WIšëpnsrñ""'
MY COMMISSION EXPIR~.,
My Commission Exoires ¿ JULY 20,1981
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D¿¡ted this __<~LQ- day of