HomeMy WebLinkAbout0001136-Plumbing (interior)
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PLUMBING PERMIT - Oshkosh, Wisconsin
Name ¡)~ ~
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¡BlOCk I Ward
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N? 1136
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¡ A<icI.!Iio_n or Replal
Perml!
[ Lot No.
DII1.
OUTSIDE WORK
NEW SEWEll WATE. STORMS FEES 'EES .ELAY S. SEWE. WATE. STORMS. "ES
F...... MaIn 10 C...b Septic Tanks From Main 10 Curb
From C...b to BuDding Electric Pumps Foom C...b 10 Building
Repair
INSIDE WORK
NO.
NEW
u,.
NO.
NEW
NO.
'E"
NEW
.E'. I USE.
FEES
.E'.
USE.
USED
"ES
BII1b Tub
Garbage Disponls
Catch Bulns
1-
I
~
II,""
Wub Buin
Disbwubus
Conducto..
-,-
Laund2am111s
Gre... ClI1cb Buins
WII102 Clooel
SID1o:
WlI1eo Soflene..
Sump Pump" Ejectors
WlI1eo H.II1...
Saniluy Bubblers
Bar and Soda Wales
I
/,IJZ>
Uoina1e
Shower Baths
nOO2 o.eins
Denial Cuspidors
Laund2y Tubs
Service Sinks
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Valualion of Ihe Work Herein Descdbed
$~5])~",..."..",...".."-"""",,,....,,-
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Fee Verified. Receipled and Recorded
Received Permll and Inspaellon F...
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In th. performance of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to be bounden by end
submit to all statutes. cily ordinances. and rule. and regulations prescribed by the Board of Public Works for the government 01 Plumbers.
It is luther agreedÄ>Y the undersigned that no other uses will be made 01 the above connections except as hereinalt.r listed.
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, .........' , ,.. 7"" 7""pi~;"ber
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STATE OF WISCONSIN)
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WINNEBAGO COUNTY
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being first duly sworn on oath deposes and says that he is not
a licensed plumbc'r, anq that he has apP1.ied for q plumbing
permit to +he Plumbing Inspector of the City of Oshkosh. to do
plumbing werk in iJ ¡tOme owned and occupied by him, or a home
thiJt is being constructed that is owned by him, and which will
be occupiec\ by him "5 his home when completed. That he is not
building said home for the purpose of sale. .
This affidavit is made for the purpo5e of complying with
the provisions of the plumbing code of the City of Oshko5h and
the State of V'iseonsin. which provides that all plumbing work
mu5t 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 installationcornplies with the plumbing code of the City of
Oshkosh and the State of Wisconsin. .
This affiJnt undorstands 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 werk.
Dated this --2.!J-- day of -::;l:1/'~----~-----' 192£:j
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Subscribed and sworn to before me t7
t his f)!i.1J day 0 f -../!Ja;J.e:j--. 192£..
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Nota ry Publ i c :i"wi~e'~~ulòtY~!ss¥¿~Q.9-Øfì&;i. n
JULY 20, 1981
My Commi5sion. Expires: --~------~------