HomeMy WebLinkAbout0001649-Plumbing (1978)
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, PLUMBING PERMIT - Oshkosh, Wisconsin Permit". N? 1649 6
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\ Block \ Ward
f Lot No.
l Addition or Replat
Date
OUTSIDE WORK
NOW SEW" WA"R STORMS fEES fEES RELAY 5. SEWER WA"R STORMS fEES
From MaID to CURb Septic Tanks From Main to CuRb
FRom CURb 10 Building Electric Pumps FRom CURb to BuUdlng
Repair
INSIDE WORK
NEW
REP. I USED
fEES
NO.
NEW
RIP.
U$lD
flES I NO.
NEW
REP. I USED
fEES
NO.
L
-2-
'Ý.
L
I
Catch BulDs
Beth Tub
Garbage DiI~
Dlshwlllhen
Conductors
Wuh BllliD
I
Greue Catch B..iDo
LaundramatR
f--
Wat" CIONt
/
Sump Pump" Ejectors
SIzIk
Water Softeners
Bar and Soda Wllltes
WaSH Heaters
Sanitary Bubblers
Urinals
'1-
Show" Baths
/
Dental Cuspidors
FIOO1' DRa1D8
Laundry Tubs
Serrice Sinks
Inspections Valuation of the Work HeRein Described Fee Verified, Receipted and Recorded Received Permit and Inspection Fees
~~~ . :~~~:=:=== .--",i=--=- J~1~3 :=
In the performance of this work the undersigned owner (or his authorired agent) of said premises and his authori.ed Plumber hereby agree to í.e 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.
,y the undersigned that no other uses will ba mede of the above connections except IS hereinafter listed.
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STATE OFWISCtJNSIN )
) SS
WINNEBAGO COUNTY)
Ú ~ ß -'\~--- ' ---~ 4 ~ ~ ð-<íLdT . --~--
~N~el' \Address
being first duly SWOrn on oath deposes and says that he is not
a lìc:ensed plumb.,or. and that he has iìpplied f9r a pluf!lbing
permit to the Plunbing Inspector of the City of Oshkosh, to do
plumbing work in a 'tOme owned and occupied by him, Or a home
that is being constructed that is owned by him, and which will
be occupieci by him as his home when completed. That he is not
building said hcme for the purpose of sal~.
This affidavit is made for the purpose of complying with
the provisions of the plumbing code of the Çity of Oshkosh and
the State of consin, which provides that all plumÞing work
must be done by a licensed plumber except that th~ plumbing work
may be done by one ~ho owns and occupies his own home providing
the installation co"pj,ies with the plumbing code of the City of
Oshkosh and the State of Wisconsin.
This i,Jnt understands that the Plumbing work authorized
by the perini "'pp.1.ied for, mUst be done only by this affiant and
'that he canr.o.'; e"1plo" o'~hers who are not licensed plumbers to
assist wit~ the work.
Dated ";his _2-~~ day of -..CJ;;;-.£_-----------, 192¿
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Subscribed and sworn to before me
this ---- day of -----------; 19~_.
-t .~ _. h~ L -~~ - . ---------
Nota'~i~ ~innebago çounty, Wisconsin
My Commission Exciresl
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