HomeMy WebLinkAbout0001054-Plumbing (bathroom fixtures)
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Plumber
PLUMBING PERMIT - Oshkosh, Wisconsin'
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Permil
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1054
Street
N~':ber 1.~9~a_--£çyCÎ_8..._---_.._..----_....---_.._...._-
I Acid.ilio_n__or Replat
r Lot No.
I Block -I Ward
OUTSIDE WORK
Dat.
NEW SEwn WAtER STORMS FEES fEES R"AY S- SEWER WAtER STORMS FEES
From MaIn 10 Curb Seplic Tank. From Main 10 Curb
FMm Curb to BuUcling Electric Pumps From Curb 10 BuUcling
Repair
INSIDE WORK
NO.
u.. I USED
FEES
NO.
NEW
"ES
NEW
RE.. I USED
fEES
NO.
NEW
REP.
USED
-
1
.L
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,/
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1/'=
j,oD
1,00
Bath Tub
Garbaga Dio~
Catch Buinl
Wuh Buin
Diohwuhen
Conduclo"
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Water CIOMt
Laundrama18
Grease Catch Buins
f--
SIDk
Water Softeners
Sump Pump &: Ejeelors
Water Hoaton
sanUary Bubblers
Bar and Soda Wules
Shower Baths
Urinale
~
noor Dralu
Dental Cuspidon
Laundry Tubs
Service Sinks
Inspecllons Valualion of Ihe Work Herein Described Fee Verified, Receipled and Recorded Received Permit and Inspecllon F...
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In tho performanco of thi. work the undersigned owner (or his authorized agent) of said premises and hi. authorirad Plumber hereby agroe to bo boundon by and
submit to all statutos, city ordinanco., and rules and regulations prescribed by the Board of Public Works for the government of Plumbors.
It I. futhor agnlad by tJJo undorslgned that no other uses will be made of tho above connections except as hereinaltor IIstad.
STATE OF WISCONSIN)
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WINNEBAGO COUNTY
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\Address
being first duly sworn on oath deposes and says that heis not
a licensed plu:nb'c-r. and that he has applied for a plumbing
permit to the Plumbing Inspector of the City of Oshkosh, to do
plumbing work in c' '.come owned and occupied by him, or a home
that is being constructed that is owned by him, and which will
be occupied by him ¿,s his home when completed. That he is not
building saidhcffie 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 al¡ plumbing work
must be done by a licensed plumber except that the plumbing work
may be done by on(? yho owns and occupies his own home providing
the installation co~plies with the plumbing code of the City of
Oshkosh and the State of W"consin.
This a-ffi3nt understands that the Plumbing work authorized
by the permi 8ppIiec1 for. must be done only by this affiant and
that he ca B,~plQ" others who are not licensed plumbers to
assist with the work,
Dated this _6l.Z- day Of ~fZ-- - ---~--~-' 19,?¿
. ~ ____£.4______------
Subscribed and sworn to before m
this Ç1..2lb day of. -~ 192£. '
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Notary Pub{i;~w~go County, Wis consin
MY COMMISSION EXPIR!tI
My Commission Expires ¡--_.;1Y..bY..£Q....~m__--_-