HomeMy WebLinkAbout0001387 P
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Plumber
PLUMBING PERMIT - Oshkosh, Wisconsin
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I Lol No. I Block I Ward
OUTSIDE WORK
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\ \ Permit', N~ 1387
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Street
and
Number
I Addilion or Replù
NEW SEwn WATE' STORMS FEES f'" .ELAY 5- S'W" WATER STORMS FEES
From MaiD to CW'b Septic Tanks From Main to Curb
From Curb to BuDding Eleclric Pumps From CW'b to Building
Repair
INSIDE WORK
NO. NEW UP- USED "'5 NO- N'W "P. UsEO FEES NO. N'W "P. US,. FEES
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Bùb Tub Garbage DiIpooaIa Catch BulDs
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Wub Buin Dlshwuhen - ConductOri
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Weter CI_t Laundrll111llÙ Gr.... Cùeh BulDs
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! BiJIIr: , / /'æ Wùer Softeners Sump Pump 8< Ejectors
Weier Heùen Sanitary Bubblers Bar and Soda Wastes
Shower Baths Urinals -
Floor DraIDI Dental Cuspidon
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Leundry Tubs Service Sinks
Illlpect1ons Valuation of the Work Herein Described Fee Verified. Receipted and Recorded Received PermU and Inspection Fees
-----------------------------------------___--Outside :~~:::::::_:~::~:::::::::~::~::::::::::::::: ----------------------------Sewer Fees
-------------------------------------------__-------Inside --&_99----------plbg. Fees
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.. -- .. .. - L_' ----., -, --U ----,--- --~ L'- _...L__'--~ DO.._L.- L._.ku airee ~ be bounden by and
submit to all statules. city ordinances. and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
II Is futher agreed by- the undersigned that no other uses will be made 01 the above connections except as hereinafter listed.
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STATE OF WISCONSIN)
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\Name}
WINNEBAGO COUNTY
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being first duly sw()rn on 9ath deposes and says that he is not
a licensed plUlJibè'r. and that he has ¡¡pplied for a p;lumbing
permit to the Plumbing Inspector of the City of Oshkosh, to do
plumbing work in i,,:¡ome owned and occupied by him, or a home
that is being constructed that is bwned by him, and which will
be occupied by him"s his home when completed. That he is not
building said home for the purpose of sale,
This affidavit- is made for the purpose of comp;lying with
the provisiomõ of th" plumbing code of the City of Oshkosh and
the State of iJ'.!isconsin, which provides that all plumbing work
must be done by a licensed plumber except that the plumbing work
may be done by ope vho owns and occupies his own home providing
the instaLlation C-)ITpŸ.ies with the plumbing code of the City of
Oshkosh and the State of W~consin.
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This effientunderstands that the Plumbing work authorized
by the permit eppIi('d for, must be don" onJ,y by this affiant and
that he ca e¡;1plo'¡ others who are not licensed plumbers to
?ssist with ~ork.
Dated this -£.-- day
0 f -~if--------------, 19 -It!.
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Subscribed and sworn to before me
this M day of ~-'--' 19j£:.
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Notary PUbl~~ b890 County, Wisconsin
MY COMMISSION EXPIR~
My Commission,Expires;--_-!~~~20,1~_----__-