HomeMy WebLinkAbout0001388-Plumbing (water heater)
r
~
)
K-
of
Plumbu
tl\ . PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~ 1388/
Name / / / /" Stroot " ,ç
_(ZWÆ_~j~--------------------------------------------- O;:'er --ßLe.Ad___---___àe:.h_L't__-e_1-----_££------------------- N~'\,.r -------jlcz.-7-----þ_,",,-_.s.l___--.Il¡¿.e------------
Dato
I Lot No.
¡: I Ward
! Addition or Replat
OUTSIDE WORK
NIW SEWEI WATER STORMS .... FE" RELAY S. SEWER WATER STORMS FEES
From MaIn to CUI'b Septic Tanks From Main to Curb
nom CUI'b to Building Electric Pumps From CUI'b to Building
Repair
INSIDE WORK
NO. NEW RIP. USID FlES NO. NEW REP. USED FEES NO. NEW REP. USED FEES
- - - -
Batb Tub Garbage Dispooals Catch Basins
Wub Basin Dishwuhus Conductors
- - - - -
Watu CI...t Laundramllts Gre... Catch Basins
-
Sink Water Softeners Sump Pump" Ejectors
I Water Hoaters .,./ j,ði. Sanitary Bubblers Bar and Soda Wastes
Showu Baths tJrl11ols -
Floor !)raIDs Dental Cuspidors
Laundry Tube Service Sinks
laapoct1ons Valuation of the Work Herein Described Fee Verified, Receipted and Recorded Received Permit and Inspection Foes
------------.---.--------------------------------------Outside $ILØ~-----------_._--------------------------------- ----------------------------Sower Fees
----------------------------------------------------------Inslde ----------/L!"P---PIbg, Fees
$-------------------------------------.------------------------------------ /0-0
---------------------------------------------- ------ --------------ë';¡:¡ÿ;;;;;;;;;-------------------------- D~~:--------~7;;/
-----------.-------------------F111al OK $-------------------------------------------------------------------------
In the perlormance of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agreé 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.
It Is futher agreed by the
l_2~__~.;;_d.¿~---
-?
STATE OF WISCONSIN)
) SS
)
-~~----~---- , ---LL4:2~flrr---~--
WINNEBAGO COUNTY
being first duly swcrn on oath deposes and says th¡;¡t he is not
a licensed plumber and that he has applied for a plumbing
permit to the :¡:nspector of the City of Oshkosh, to do
plumbing werle in i] :lome owned and occupied by him, or a home
that is being constructed that is owned by him, and which will
be cccupieci by him?s his home when completed. That he is not
building said hcme for the purpose of sale. .
This affidavit is made for the purpose of complying with
the provisions of the plumbing code of the City of Oshkosh and
the State of consin, which provides that all plumbing work
must be done 2 licensed plumber except that the plumbing work
may be done by one ~ho owns and occupies his own home providing
the installation co,rpJ_ies with the plumbing code of the City of
Oshkosh and the State of Wisconsin.
This affi~nt understands that the Plumbing work authorized
by the permi applipd for, must be done only by this affiant and
that he can"o": emplO'1 others wl¡oare not licensed plumbers to
assist wit'1 the work,
Dated this £day of -H-----~--' 19..;2¿
ì1Ø~ ~ d~
Subscribeq and sworn to before me
this --St!: day of, -~----, 19!2K.
Notary PUbïri4~-¿ß~~-ŠcõñSrn
My Commission Exoires; !\WCOMMISSION E!p~
.' --Jl:fi:Y"2U;-I9ïh ---
'-