HomeMy WebLinkAbout0008452-Plumbing (fixtures)
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PLUMBING PERMIT - Oshkosh, Wisconsin '1 PerllÛt N~ 8452
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I Lot No. -- -I Block I Ward I Addi,io" or Replat
OUTSIDE WORK
Date
Naw saw.. WAtE. sroRMS Fm ms .EIAY S. 'EWE. WArE. STORMS FEES
From MaIn 10 Cub Seplic Tanks From Main 10 Curb
From Cub 10 BuUdlnsr Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO. NEW RIP. USEO FlES NO. NEW .... uSED FEES NO. NEW .EP. USED FUS
- - - - -
Bath Tub I !-"'V Gubage Dispooab¡ Catch Buins
Wash Bum I ¡..,-c) Disbwub.... Conduclor¡
1- - - - -
Water CIOMt I I- ~..ç Laundram&ts Greue Cateb Buma
SIAk / l""cJ Water Softeners Sump Pump Ik Ejeclors
Wmr Heaters Sanilary Bubblers Bu and Soda Wasles
Sho..... Batbs Urinals
Floor Dr8lna Denial Cuspidors
Laundry Tubs Service Sinks
IJllpectlOIII Valuation of the Work Herein 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 auth@rized 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 thet no other uses will be made of the above connections except .s hereinafter lisled.
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Plumbo.
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STATE OF WISCONSIN)
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WINNEBAGO COUNTY)
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-(Name) . \Address I
being first duly S'Ncrn on oath deposes and says that he is not
a licensed plumber. and that he has applied for a plumbing
permit to the Plumbing lnspector of the City of Oshkosh, to do
plumbing work in i) home owned and occupied by him, or a home
that is being constructed that is owned by him, and which will
be occupied by him as his home when completed. That he is not
building said home for the purpose of sale.
This affidavit is made for the purpose of co~plying with
the provisions of the plumbing 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 who owns and occupies his own home providing
the installation coi;:pHes with the plumbing code of the City of
Oshkosh and the State of Wisconsin.
This affi3nt. undorstands that the Plumbing work authorized
by the permit appJ.ieci for, mL¡st be done only by this affiant and
that he cannot eê'1ploy others who are not. licensed pl\Jmbers to
assist with the work. /' .
Dated this ~- day \,f ----~~-----, 192Q7
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Subscribed and
this -~~~y of - - ---' 19~
Not¡ry~~ Wi' eba~~~~rñ-
My CÖmmission ExDires; /.2-.;:¿¿¡-)~
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