HomeMy WebLinkAbout0001728-Plumbing (addition)
"'-'
)
,)
,:
H-
of
Plumber
PLUMBING PERMIT - Oshkosh, Wisconsin Permit N'? 1728
.....~-_......_._..__.................. ~:!:r ..~..~h..f-.~....._..........."'.. :~tr .......ý~2..../?~......_.._........_-
I Lo.I Ho. ¡ Block \ Ward I Addition or Re"lat
OUTSIDE WORK
Date
NOW SEwn WAtER STORMS fEES fEES RELAY S. SEWER WATER STORMS fEES
From Main 10 Curb Septic Tanks From Main 10 Curb
F1om Curb 10 BWlding Electric Pumps From Curb 10 Building
Repair
INSIDE WORK
.
NO. NEW UP. USED FlES NO. NEW REP. USED fEES NO. NEW REP. USED fEES
.,/ - - -
¡ Bath Tub I~ Garbage DlapoeaJs Catch Basins
1-
I Wash Basill V 1--- Dlabwashon Conductors
- - -
I Water Clooel ,/ ,--- Laund...mall Gre... Catch Basins
-
Siak Water Softeners Sump Pump" Ejectors
Water Heaten Sanitary Bubblers Bar and Soda Wastes
Show.. Balba U riDaII
Floor DrÙIII Dental Cuspidors
Laundry TubII Serflce Sillka
Iaapeclions ~Ë~~ê Fee Verified, Receipted and Recorded Received Permit and Inspection Fe..
--....-.......-..-............-.......-.........Oullide /.......................88wer Fees
F. 4.../# ~~¡. 7--7. .....Inside .. ....~:¿n...PIbg. Fees
---.-.-..-..--..---....-.-..-.......-..-- """"""'."'."'..."ë.liÿ.T;;;;~;;;.."""."""""'."'" Da;:""';;;l;.::J;/
------&-/.,4j-'}-.--EiDa1 OK
In the performs nee of this work the undersigned owner (or his authorired agent) of said premises and his authorized Plumber hareby agree to be bounden by ..,d
submit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
undersigned that no other uses will be made of the above connections except as hereinaftor listed.
~..z.~~...
,- ~
~-
)
<'
STATE OF WISCONSIN)
) SS
WINNEBAGO COUNTY)
- /?:!!~ ~-~kf--~-' _Pt~-eL- ~-~~----
~me) \Address¡
being first duly SNCrn 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 wcrk in a ;,ome owned and occupied by him, or a home
that is being constructed that is owned by him, and which will
be 9ccupieci by himõ15 h~s home wh¡m comp¡eted. That he is not
building said home for the purpose of sale.
This affidavit is made for the p\)rpose of complying wit/1
the provisions of the plumbing code of the City of Oshkosh and
the State of :/'isçondn, which provides thgtall pJ.umÞing work
must be done a licensed pl\)mber except that the plumbing work
may be done by 01'8 vho owns and occupies his own home providing
the installation coæplies with the pl\)mbing code of the City of
Oshkosh and the :';t.3te of Wis Gonsin.
This affi-3nt - under:òtar¡ds that the Plumbing work suthorized
by the permi applied for, must be done only by this affiant srid
that he cannot m~ploy others who are not J.icensed plumbers to
sssist with the work
Dsted this /.S-::'- cìay of ....-,'21-~-~........~-_! 192¿'
~_t~ f«!~-_....
Subscribed and sworn to before me - ",\_-1'
this /51b. day of, -iJwt.~, 191J:, '
Not*~g~ëõüñtY-;WIšëC;rj~rñ-':: -
,,'.'! COMMISSION EXPIR~" - :
My Comm15 5i on Expires: JULY 20,1981
.' --....----------....---.....-