HomeMy WebLinkAbout0000100-Plumbing (bathroom fixtures)
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PLUMBING PERMIT - Oshkosh, Wisconsin Permil N? 100
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I Addilion or Replat
Date
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OUTSIDE WORK
NIW ,EW" WATER STORMS FEES ".. RELAY ,. SEWER WATER STORMS "E'
From MaIn to Cwb Septic TaDks From Main to Curb
nom Cwb to BuUcIIng Eleclrlc Pumps From Cwb to Building
Rapair
INSIDE WORK
NO.
NEW
USED
NEW
FEES
FEES
110.
NEW
REP.
USED
REP.
.... I NO.
REP. I U'ED
Batb Tub
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f--
¡-Db
/,60
I- '601
Garbaga D~
Catch BulDs
Wub BuiD
Dishwuhen
Conductors
Graue Catch BulDs
Laundr-
Water Cioaet
SIDIo:
Water Softeners
Sump Pump 8< Ejectors
Water Heaters
Sanilary Bubblers
Bar and Soda Wutaa
Shower Batha
Urinala
no.... Dralna
Laundry Tuba
Denial Cuspidors
Serneo SiDb
~:~:_u_------_u_---______m__Outaide :i!£Q:~::_;Q~~--=:~::_::~:_:: Fee Verified. Receipted and Recorded R~~i:~~__p;r~~_S:U;e~na;:..tion Fees
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In thlt parformance of this work tho undarsigned owner (or his authorizad a9Ont) of ,aid premises and his authorized Plumber heraby agree to be b.,';,nden by and
submit 10 all statutes. city ordinances. and rule, and regulation, prescribed by the Board of Public Works for the governmant of Plumbers.
It Is futher agreed by the undersigned that no other uses will be made of the above connections excepl as hereinaflar 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 says that he is not
a licensed plumber. and that he has applied for a plumbing
permit to the Plu~bing Inspector of the City of Oshkosh, to do
plumbing work in a hcmeowned and occupied by him, or a home
that is being constructed that is owned by him, and which will
be occupieci by him ~,s his home when completed. That he is not
building said home fer the purpos~ 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 'i'iseon".in, 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
OshkoshBnd the State of Wisconsin.
This affi3nt understands that the Plumbing work authorized
by the permit applied for, must be done only by this affiant and
that he ca[)"-.()-~: oc)ploV others who are not licensed plumbers to
assist with the work,
Dated tf-is _¿¿ day of ~_.-ø£Ç:J~-----~, 19¿Z.
Sobmibed ,cd ,wore to be'",e ~ ~~
this -~ day of -_é2~ 19.2.1. '
~#71pumç(~ffšgo ëounty:-WiscõnsIñ- ^,
MY COMMIS$!OH EXPIRES
My Commission Expires :~-_:",1:!!h)!Sj-\ ¡!-~::!~-----