HomeMy WebLinkAbout0001760-Plumbing (sink)
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PLUMBING PERMIT - Oshkosh, Wisconsin
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OUTSIDE WORK
Permit
Street
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N~ 1760
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I Addition or Replat
Date
NEW SEWn WATE. STORMS 'EES fEES .ELAY s- SEWE. WATE. STORMS fEES
From MaIn to Curb Seplic Tanks From Main 10 Curb
Fwom Curb 10 BuDding Electric Pumps From Curb 10 BuUcIh1g
Repair
INSIDE WORK
NO.
NEW
UP.
NO.
NEW
fEES
fEES
NO.
NEW
UP.
USE.
.EP. I USE.
US"
fElS
1Iùb Tub
Garbage Dl8pooals
Caleb Buinll
I--------
Wuh Buin
D1abwuh....
Conduclo..
Waler Cl_1
Laundramala
Greue Catch Bulna
f--
J-I
./'
Waler Softeners
Sump Pump 8< Ejeclors
¡r
SIJIk
Water Heal....
Saniiuy Bubblers
Bar and Soda Wules
Shower Baths
UriDals
noor Dra1na
Denial Cuspidors
Laundry Tubo
Service Sinks
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Fee Verified. Receipled and Recorded
Received Permil and Inspeclion F...
-------------- ------Sewer F...
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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 agree to be 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.
derslgned that no other uses will be made of the above connectio
,
,i,1
STATE OF WISCONSIN)
) 55
WINNEBAGO COUNTY)
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-TNa~~ ~~ess;
being first duly sworn on oath deposes and says that he is not
a licensed plumber, and that he has applied for a plumbing
permit to the Flu.è1bin9 Inspector of the City of Oshkosh, to óo
plumping work in a home owr;ed and occupied by him. or a home
that is bein~1 constructed that is owned by him, and which will
be occupied by him~s his home when completed, That he is not
building ~~id home for the p~rpose of sale.
This affidavit is made for the purpose of complying with
the provisions of tho plumbing code of tl\e City of Oshkosh and
the State cf V"i-sconsin, which provides that all plumbing work
must be done by a licensed plumbe; except that the plumbing work
may be done by one vbo owns and occupies h~s own home providing
the installation Qoæplies with the plumbing coóe of the City of
Oshkosh anJ the State of Wisconsin,
This
by the permi
that he ca
assist wi th
understands that the Plumbing work authorized
applied for, mUst be done only by this affiant and
employ others who are not licenseó plumbers to
Dated t¡--is 1~~ day of ~-k.._-----..,-, 19:zL:
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Subscribed and sworn to before me
this ----- day of --------~--' 19----,
Notãl::ÿ pubiTç,~wIññebagoëounty. Wis ëõnsrñ~
My Commission Exciresl
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