HomeMy WebLinkAbout0000264 P
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,J, .- " PLUMBING PERMIT - Os,hkosh, Wisconsin
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, Permit N~ 264
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Permit -- -
I Addition or Replat
¡ Lot No.
r= I Ward
Date
OUTSIDE WORK
NEW SEWn WATI. STORMS .... ,"". .ELAV .. .IW.. WATE. STORM. ....
From M8III to CW'b S.plic Tanks From Main to Curb
FNm CW'b 10 BuDding Eleclric Pumps From CW'b to Building
Repair
INSIDE WORK
NO. NEW u,. USE" ..1. NO. NIW .1'. USED .... NO. NIW .1'. U.ID ....
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_Tub / Garbage Dlspooals CaIc:h BulDs
/p -
Wuh Buln / Dlshwuhen Conduclo"
/# 1- - - - -
Water CI_t / Laundramats Grease Catch BulDs
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SIDk Water Softeno.. Sump Pump 8< Ejectors
Water Heate.. Sanitary Bubblers Bar end Soda Wules
Shower Baths Urinals
Floor Drains Dental Cuspido..
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Laundry Tubs Service Sinks
Inapections Valualion of the Work Herein Described Fee Verified. Receipted and Recorded Received Permit and Inspection Fees
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gent) of said premises and hi. authorized Plumber hereby agree to
submit to all statules, 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 thet no other uses will be made of the above connections except as hereinalter listed.
ounden by end
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STATE OF WISCONSIN )
) SS
WINNEBAGO COUNTY)
£ P-{¿I4ßJ)",--~rUJ!:LEúY:_-, -- J73~ Q§ð/é Ç?s/l. _.dot;;,,"
\Name / TÃddress--¡----
being first duly sworn on oath deposes and says that he is not
a licensed plurJibcr i;ìr.d that he has applied for a plumbing
permit to the Inspector of the City of Oshkosh, to do
plumbing wcr!, in Ð, home owned and occupied by him, or a home
that is being constructed that is owned by him, and which will
be cccupied by him as his home when comp;I.eted. That he is not
building said ho,¡-,," fer the purpose of sale.
This affidavit is made for the purpose of complying with
the provisions of the pl\,Jmbing code of the City of Oshkosh and
the State of V'isconsin, 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 COíêpJ.ies with the plumbing code of the City of
Oshkosh and the State of Wisconsin.
Thisaffi3nt understands that the Plumbing work authQrized
by the permit applied for, must be done only by this affiant and
that he ca employ others who are not licensed pl\,Jmbers to
assist wi the work.
Dated this -.lL_- day of _RZ7-~""!"----: ly7%
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Subscribed and sworn to before me
this - ~ day of ,~~~----, 19;7;7.
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MY cO"",<>"C!>-: ";;F'lf£3
My Commission.Expires:_--~秂JdLl&l~~~___----