HomeMy WebLinkAbout0008378-Plumbing (kitchen sink)
.-..
PLUMBlNG PERMIT - Oshkosh, Wisconllin
:~r _._-----(Q_J,d'¿i~~3:"-_-r.---------------- ::!:r _-I!J.~ke-__-----_{'êJ__;¿_l.L?-___C_---------_oo_-------- :E~r
sS
Permit N':' 8378
¿ V-- C' ¡; -'1Y C'
I Lot No. I Black I Ward
OUTSIDE WORK
Addiiian ar Eeplat
Date
NEW SEWER WAIER S10RMS fEES fEU RELAY S. SEw', WAtER S10RMS fEES
From MaUl. 10 Curb Seplic Tanks From Main !o Curb
From Curb io BuiIcIlnU Eledric Pumps From Curb !o Building
Repair
INSIDE WORK
NO.
UP.
USED
nos
NO.
NEW
NEW
REP. I USED
fEES
NO.
NEW
REP. I USED
fEES
Bath Tub
Garbsge Dispooals
C- B..ins
Wuh BuiD
Dlsh"",",h....
C:ondudors
-,-
Wat... CI....t
Loundrama.tJs
Grease Catch BulDs
SbIk
v
J/ø'
Sump Pump 8r: Ejedars
Water Softeners
Weier Hoote..
Sanitary Bubble..
Bar and Soda Was.tes
Show... BIdha
UriDois
Floor Dr8l>u
Dental Cuspido..
Laundry Tubs
Iuspectlou -----Outslde
~=:~=-"::"--::::-'~=-=----=--_oo_IDSide
Service Sinks
Fee Verified. Receip!ed and Recorded
va~n of tho Work Herein Described
$-_00_Z:¿~,Ç,2..._-_00_------------_00_-
$-0000___'_-'_00'-00___000000_00_______-----_0000---__--
$--00-_---------______0000_0000____-__00______---
Received Permit and Inspection Feea
--/.--oooooo_oo-Se...er Feea
_._-_'::_:'...:?.-Plhg. Fees
D';;~---5---7. -00 i:To~.-..5
L.J.L2
----------.------
_'_0000000000_00--00-----__--------_--__00000000______-
City ,,....,.,
-----------1'iDal OK:
In the performence of this work the undersigned owner (or hi. authorized agent) of ..id promises and his authori..d Plomber hereby agree to be bounden by and
submit to all statutes, city ordinances, and rules and reguiations prucribed by the Board of Pob!i. Work. for the government of Plumber..
It Is futher agreed by the undersigned that no other use. will bo mode of the above connection. except a. hereinafter listed.
=~-?f~---_:ir;;;,,5...~:;" ~ ~w...~~~:::~:~:~::~:_:-::~::::---oo_---
-T-- PI_tn. In......., (/ "7 __00_---
,:711'£-4-_:_--- 1111.Jk¿:Jjafliê¿L- -- ----- _m----- moO - oooomoo__oooo_---
6' Lv- Þv- I' --v-
STATE OF WISCONSIN)
) 55
)
!~t~.--£.d...~~L____- '
\Name)
WINNEBAGO COUNTY
C) .s /" ¿,/ç,z / /V Q
--------TAdarëssT~-~-
being first duly sworn on oath deposes and says that he is not
a licensed plumber, and that he has ßpplied for a plumbing
permit to the Plumbing Inspector of the City of Oshkosh, to do
plumbing work in ;) home owned and occupied by him, or a home
that is being constructed that is owned by him, and which will
be occupiec1 by him ,3S his home whe.n completed. That he is not
building said home for the purpose of sale.
Thi$ affidavit is made for the purpose of complying with
theprovis1ons of the plumbing code of the City of Oshkosh and
the State of ii.!iscone.in, which providl?s that all pl1,.1mbing work
must bl? done by a licensed plumber except that thl? plumbing work
may be done by one vho owns and occupies his own home providing
the installation coi"plies with the plumbing code of the City of
Oshkosh and the StatQ of Wis consin.
This affi~nt understands ~hat the Plumbing work authorized
by the permit applied for, must be done only by this affiant and
that he cannot mnplov others who are not licensed plumbers to
assist with the work.
Dated this -2__- day of
-Ju / 1975
-----------7'---:---' ....-~-'
, C7111 ?'Yl/l 'J .Þ],/!':#
f-¡.~4...:_-/../-v.d:~ .LJ;.2&.£L;?-Á-
Sub,oribed '"~d ow,"" ,.0 befo.r.e me ~~
this 1 day of , 19.t{? .
l:~rfWi~890 -::::tY~~~~~õnSln
MY COMMISSION EXPIRES
My Commission Exoires: MARCH 12,1978
" ----~--------