HomeMy WebLinkAbout0008153 P
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Permit N? 8153
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PLUMBING PERMIT - Oshkosh, Wisconsin',
Name ~., /"" . Street
àWMef"'. of .'." ,'>-'~/' ,and
------------'~---'-_':'_-------_._.__. Owner ----ß . - -,.._......_~:_.......__.. Number .--
Lot No,.. I Block I Ward I Addilion or Replat.
Date
OUTSIDE WORK
Naw SEW" WAtER SroRMS 'EES '.ES R.,AY S- SEW'R WAtER STORMS ...,
FIom MaIn to Curb Septic Tanks From Mam to Curb
!'10m C1øb to Build!Dsr Electric Pumps From Curb to auUdmg
Repair
INSIDE WORK
NO.
US..I~
NEW
UP.
USED
NO.
...S
N.VI
RoP. I "".
"ES
NO.
N.W
R.P.
Bath Tub
Wuh Buùs
Garbage DIIpoea1s
Cateh Bolns
7
¡
:[ßO
'I- 06
Dishwashers
Conductors
Watw Cl_t
Laundr-
Gr....... Catch !Joins
SIDle
Water Softe.....s
Sump Pump lit Ejectors
Water Heaters
Sho.... Baths
Sanitary Bubblers
UrIna1a
Bar and Soda Wastes
Flcor Dr"
Laundry Tubs
Dental Cuspidors
/
~1.)O
Service Sinks
Il\IP8dIOns Va~lon of the Work Herein Described Fee Verified. Receipted and Recorded Received Permit and Inspection Fe..
~~ ~~~=~ --"-..-~-- ~~::
In th" performance of this work the undersigned owner (or his authorized age.nt) of said preml.e. and his authorized Plumber hereby agree to be bounden by and
submit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Pubiic Wor or the government of Plumbers.
It Is futher agreed by the undersigned that no other uses will be mede of the eboye connectio exce~t s hereil1.riter ii.led.
-------------.. --- ---------------....-------- ------ ---------
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PlumbIng 1.._,
----------------..--h------------------------h_-
STATE OF WISCONSIN)
) SS
WINNEBAGO COUNTY)
~L.L I P \) ¡L¿t:TtÆJ I
(Name)
67 rRhl~;r'¡Cc¡e7
(Address)
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 Plumbing Inspector of the City of Oshkosh, to do
plumbing work in a 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 complying 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 complies with the plumbing code of the City of
Oshkosh and the State of Wisconsin.
This affiant understands that the Plumbing work authorized
by the permit applied for, must be done only by this affiant and
that he cannot employ others who are not licensed plumbers to
assist with the work.
Dated this ------ day of .19
~ Q.~S
'"w"rib"d oed "=xo '0 bofoxo mo
'hi, 6::'~~ ~-
Notary Public, nnebago County, Wisconsin
My Commission Expires:
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