HomeMy WebLinkAbout0001245 P
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PLUMBING PERMIT - Oshkosh, Wisconsin
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OUTSIDE WORK
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Permit
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Slreet
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Naw SEwn WATER STORMS fEES fEES RElAY S. SEWER WATER STORMS fEES
From Mùn to Curb Septic Tanks From Main to Curb
From Curb to BuDding Electric Pumps From Curb to Building
Rapair
INSIDE WORK
110.
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UP.
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NO.
NEW
UP. I USED
fEES
NEW
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FEES
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Garbage Dloponla
Cùch BasÙ1l
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Dishwashen
Conductors
Gre... Cùch BasÙ1l
Laundr1UDÙ8
Wù.. C~t
SiDk
Wùar Softeners
Sump Pump 8< Ejectors
Wùer Heùers
Sani1ary Bubblers
Bar and Soda Wastes
Shower Bùhs
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Urinala
Floor Drùne
Laundry Tubo
Denial Cuspidors
Ser'lice Sinks
Inspections Valuation of the Work HerelD Described Fee Verified. Receipted and Recorded Received Permit and Inspection Fees
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In the performance of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby ogre. to b. 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 undersigned that no other uses will b. made of the above connections- ex~pt_as--~,,~n~fter listed.
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STATE OF WISCONSIN)
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WINNEBAGO COUNTY)
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being first duly sworn on oath deposes and SqYS that he is not
a licensed plumber, and that he has applied for a plumbing
permit to the Plumbing Inspector of the city of Osh~osh, to do
plumbing wcrk in iJ ',orr.e owned qnd occupied by him, or a home
that is being constructed that is owned by him, and which will
be occupiec; 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 complying with
the provisions of ~hE plumbing code of the City üf Oshkosh and
the State of V"iscorsin, which provides that all plumbing work
must be done by a licensed plumber except that the plumbing work
may be done by one. vho 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 nt understands that the Plumbing work authorized
by the t applied for, must be done only by this affiant and
that he ca empl~v others who are not licensed plumbers to
assist with worK.
Dated this ~_.l_~ day of -~~ ~-~---_. 1 92F"
~~-~~-----------
Subscribed and sworn to before me
this --- day of -----------' 19____,
Notary pubEC;-wIñ¡:;ë5ãgoëounty-;- wisëQñSIi1
My Commission,Expires:____~------------