HomeMy WebLinkAbout0008347-Plumbing (toilet & lav)
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PLUt1ABi~G PERMIT - Oshkosh, Wisconsin "Permit N? R347
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Date
I Lot No.
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¡ Addition or Replai
OUTSIDE WORK
NIW SEWEll WATEII STORMS 'rES 'rES RELAY S. SEWER WATER SIORMS 'liS
From Main to Cub Seplic Tanks From Main 10 Curb
Fro... Cub 10 BuIlcllng Eleculc Pumps From Curb to Bullcllng
Repair
INSIDE WORK
NO. NEW UI'. USED flU NO. NEW 'EP. USE. FEES NO. NEW RIP. USE. 'liS
Bath Tub Garbaga DIopo&aIs Catch Basins
Wuh Buin I Dishwuhers Conduc!ors
- - - - -
w8i- Clooet I LauDdramab Gr- Catch BulDe
Slalc Weier Softeners Sump Pump tk Ejec!ors
Water He8ien Sanitary Bubblers Bar and Soda Wasles
Show... Batba Urinals
Floor Drabuo Dental Cuspidors
Laundry Tube Service Sinks
IlIIIpectIoIIII Valuation of Ihe Work Herein Described Fee Verified. Receipted and Recorded Received Permi! and Inspeclion Fees
------------- ___h' _-__Oulside $---------____._2QQ_,__<2_e______----------- ::::=::=~~geu:::r F=
-----2;lle1JI.-~~ Inside $-------------------------..--------------------------- ------_.d~oial
------------F1naI OK $----------------------------______m_____- ---- ----------- ---- -CitŸr;;;;;;;; --------- --------- Date ¿;-ç-7S-
In the performance of this work Ihe undersigned owner (or his authorized agent) of $Rid premises and his authorized Plumber hereby agree to be bounden by and
submit to all statutes, city ordinances, and rules and regulations prescribed by Ihe 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 except a
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Own" of ",emI'" or h Utho- ""d "l"', -------
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Plumbing In'_. -.LJ.-B .
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STATE OF WISCONSIN)
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WINNEBAGO COUNTY
being first duly sworn on oath depo~es and says that he is not
a licensed plumber, and that he has applied for a plumbing
permit to the Flu.:1lii.n9 Inspector qf the City of Oshkosh, to do
plumbing work in a home owned and occupied by him, OJ;' a home
that is being constructed that is owned by him, and which will
be occupied by him ¿,s his home when completed. That he is not
building said heme for the purpose ofsele.
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 consin, which provides that all plumbing work
must be done a licensed plumber except that the plumbing work
may be done by OP.(è vho owns and occupies his own home providing
the installation coiTpHes with 'the plumbing code of the City of
Oshkosh and the State cf Wisconsin.
This affient understands that the Plumbing work authorized
by the permit app1i¡oC) for, must be done only by this affiant and
that he canaot employ others who are not licensed plumbers to
"'i'~,:::ht::: ~,y of -h----.. 19.ft. /J1
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Subscribed and sworn to before me tJ:')-;'u~-£-1r,
this --- day of -----------' 19_. 9I","¿e..1..",,~,,-~
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My Commission Exoires:
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