HomeMy WebLinkAbout0009243-Plumbing (sink)
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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N~" r9243
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I Lot No.
r=- I Ward
IAddition or Replat
Dùe
OUTSIDE WORK
NEW SEWn WAtER STORMS fEES FEES RELAY S. SEWER WAtER STORMS fEES
From MaIn to Curb Septic Tanks From MaiD to Curb
From Curb 10 Building Electric Pumps From Curb to Building
Repair
\.
INSIDE WORK
NO.
NEW
u,.
USED
FlES
NO.
NEW
RE'. I USEO
fEES
NO.
NEW
RE'.
USEO
fEES
Bath Tub
Garbage D~
C8!ch Bulns
f------
Wub Bum
Dlshwuben
Conductors
Wù- Cl_t
Grease Cùcb Baalns
f----
Laundramals
Sink
/
Sump Pump 8< Ejectors
j11 j.Z> 0
WIder Softeners
Water Heùe..
S8Iiliary Bubblers
Bar and Soda Wastes
Shower B8!hs
UriDa1s
Floor DoeIIUI
Dental Cuspido..
Laundry Tubs
Service 8mb
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In the performlnce of this work the undersigned owner (or his luthorized agent) of slid premises and his authorized Plumber hereby agree 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 undersigned that no other uses will be made of the above connections e,
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---~ Plumbing Ino_-
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(fv/ljer
STATE OF WISCONSIN)
) 55
WINNEBAGO COUNTY)
7~~ -Sl~;£AI
Name)
/3..>y ttJ. f?~ ßd?
(Adaress)
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being first duly sworn on oath deposes and says that he is not
a licensed p.luITib¡,;r, and that he has applied for a plumbing
permit to the Plui:1bing Inspector of the City of Oshkosh, to do
pll,lmbing work in a home owned and occl,lpied by him. or a home
that is being constructed that is owned by him, and which will
be occupied by him EJS his home when completed. That he is not
bl,lilding said home for the purpose of sale.
This affidavit is made for the purpose of complying with
the provisions of the pll,lmbing code of the City of Oshkosh and
the State of Wisconsin, which provides that all plumbing work
must be done by a licensed plumber except that the plumbing work
may be done by one ~'ho 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 affiant I,Inderstands that the Plumbing work authorized
by the permit applied for, must be done only by this affiant and
that he cannot employ otherS,who are not licensed plumbers to
assist with the work.
Dated th".a.L doy of ~~. 19L{;
Submi.,d ood ..orn to b,(o" ~~
this day of .192.
/ I. U
Nota~ 1,1 lone .go County. isconsln
My Commission Expires:
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