HomeMy WebLinkAbout0001118-Plumbing (fixtures)
...~
)
R.....
ot
PIWllher
PLUMBING PERMIT - Oshkosh, Wisconsin
..ÆCt2de~._..._._..__...._._m__m......m_.... ::!:r .....~.L._..2t2.'e./....m_.__._._-_.........m.m
I_Block I Ward
"'--m..m..--
N?
1118
Permit
Street
R~'1.r jOIé/.m..Qzle.em../ltLe.~mm
I .::?33.-030gr'-
. AddUion or Repl81
I Lo.I RD.
Date
OUTSIDE WORK
NOW SEwn WA'" 'TORMS 'EES FEE, ",1.'1 .. 'EWE. WA'" STORMS FEE,
From Ma1D to Curb Seplic Tenks From Main to Curb
FJom Curb 10 Bulld1nsr Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO.
NEW
RIP.
.EP. I USED
'EE'
'EE'
NO.
USID
nES I NO.
NEW
NEW
'EP.
USID
BathTub
Garbage Dilpooals
Cúc:h Basins
I-
Y
L!
./
-./
/
Sump Pump Ik Ejectors
Dishwashers
Conductors
Wuh Basin
Laundramúl
Greue Catch Basins
Wat.. Cl_t
r--
Water Softeners
Sink
Waler Heate..
Saniluy Bubblers
Bar and Soda Wasles
J
./
Urinals
II, dt>
Show.. Baths
Floor Dr8lu
Denial Cuspidors
Laundry Tube
Service Sinks
lnsped1ons ValuaUon of the Work Herein Described Fee Verified. Receipled and Recorded Received Permit and Inspecllon Fees
~Ë~ ~==:.==.= ~-Qi;i","-'-' - ;~~~§' .::-
In the performlnce of this work the undersigned owner (or his luthorized Igent) of slid premises and his authorized Plumber hereby agree to be bounden by end
submit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It Is futher agreed_by the undersigned that no other uses will be made of the above connections except as hereinaner listed.
-"""""-"-......-
'._._m__:_~b.;___m- 'm
~-
--¡,
""
'.'
STATE OF WISCONSIN)
) SS
)
-£21 . ¿~) ~j----~----- , ___L12li---t2lir'/ -d¿ ~ -r-'"'--~--
~~ Address)
WINNEBAGO COUNTY
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 Inspector of the City of Oshkosh. to do
plumbing worl( in 0 home 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 his home when completed. That he is not
building said home for the purpose of sale.
Thi~ affidavit is made for the purpose of complying with
the provisions of the plumbing code of the City of Oshkosh and
the State of 'i'isconsin, which provides that all plumbing work
m.ust 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 installation complies with the plumbing code of the City of
Oshkosh and the State of Wisconsin.
This affiant undorstands that the Plumbing work authorized
by the permit appJ.ied for, must be done only by this affiant and
that he cannot employ others who are not licensed plumbers to
assist with the work, .
Dated this .-1.1-- day of _~L______-----, 191L.
~~~~------------
Subscribed and sworn to before me
this ).1..4 day of _i!J~J2, 19_¿r.
~~.-- ~-/2 ~------
Notary Publi¿7L~inngb8 0 County; Wisconsin
il.t1f COMMISSION EXPIRES
My Commission, Expires:____--~~~:~----