HomeMy WebLinkAbout0001318-Plumbing (bathroom fixtures)
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PLUMBING PERMIT - Oshkosh, Wisconsin Permil N~ 1318 +
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I Lot No. I Block I Ward
OUTSIDE WORK
I Addilion or Replal
Dale
NEW SEwn WATER STORMS FEES 'EES RELAY S- SEWER WATER STORMS FEES
From MaID to Curb Septic Tanks From Main 10 Curb
From Curb to BuDding Eleclric Pump" From Curb to Building
Repair
INSIDE WORK
NO.
NEW
REP-
NEW
REP. I USED
FEES
FEES
flO.
NEW
REP-
USED
USED
HES
NO.
1.-
1
I
./
./
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I-
Bath Tub
Garbage DiopooaIa
Caleb BulDo
Wash BuiD
Dlshwuhen
Conduclors
Gre... Calch Bulns
LaundrlUDllÙ
Water CIONt
Sink
Waler Softeners
Sump Pump 8< Ejeclors
Water Heaters
Sanitary Bubblers
Bar and Soda WaItes
Shower Baths
UrineJs
Floor DraIDs
Dental Cuspidors
Laundry Tubs
Service SiDks
IMpactions Valuation of lI~rk ereiD Described Fee Verified. Receipled and Recorded Received Permil and Inspecllon Fees
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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 agré'e to í.a bounden by and
submit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
a undersigned that no other uses will ba mede of the above connections except as hereinalter listed.
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STATE OF WISCONSIN)
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WI"i/O., ~':"dí I
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being first duly swcrn on oath deposes and says that he is not
a licensed plumber and that he has applied for a plumbing
permit to the ng Inspector of the City of Oshkosh, to .do
plumbing work in a i,ome owned and occupied by him, or a home
that is being constructed that is owned by him, and which will
be occupieci by him as his home when completed. That he is not
building said home for the purpose of sale.
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This aHidavi t is made for the purpose ,of complying with
the provisions of the plumbing code of the City of Oshkosh and
the State of ii'isconsin, which proviçJes that all plumbing work
must be done by :3 lic\Ò¡)sed pl\,Jmber except that the plumbing work
may be done by 01".8 vho owns and ocçupies his own home providing
the installation coirpJ.ies with the plumbing code of the City of
Oshkosh and the State of Wisconsin.
I
This affiant understands that the Plumbing work authorizad
by the permit applied for, must be done only by this affiant and
that he car1"'ot e¡~1plo" others who art'? not licensed plumbers to ;
assist wi th the. /
Mod tHe .£ dôy of ~. )9 ¡L.
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Subscribed and sworn to before me .
this -j-~ day pf ~---, 192J:.
--- '-{JnlYt(l)L/ J ,f1:J::aatL------
Notary ~rt'ç:-wjß\i1~go County, \!lis oonsin
My Commission Exoires: MY COMMISSION EXPIRES
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