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HomeMy WebLinkAbout0000587-Plumbing (sink) ~ ) PL~t.WJNG PERMIT - Oshkosh, Wisconsin . ì ,.>: Permit N~ 587 Name Name Street .' . P~ _t2W-LlN_.I1..__------------------------------------------- ~er æMé~,f:---Li~¿YA,ft'Lt{.---------------------------- N:::ber -_.!:2.3K.__4-)¡;!!..~~------------------------- l Lc>I No. b I Ward OUTSIDE WORK I Addilion or Replat Data NOW SlWEI WATE. STORMS FEES FEES .E'AY S. SEWE. WATER STORMS FEES From MaIn to Curb Septic Tanks From Main to Curb h>m Curb to Building Electric Pumps From Curb to BuUding Repair INSIDE WORK NO. NEW NO. FEES Fm NO. NEW .EP. I USED NEW REP. USID REP. USED FEES Batb Tub GOrbage DilpooaJs Catcl1 Basins -,- Wub Buin Dishwuhers Conduc.lors WatH Cl_t LaundrlUDllbl Greue Catch Bulns -- I ,./ Sump Pump 8< Ejec.lors /.tV Water Softeners Sink Water Haaters S&nÜary Bubblers Bar and Soda Wastes Shewer Baths Urina1a F1oor Dralu Dental Cuspidors I~- Laundry Tubs Service Sinks Inspections Valuation of the Work Herein Described Fee Verified. Receipted and Recorded Received Permit and Inspection Fees ~=:::=:::==~~::~:::~:~::::::::~:~::::::";;.:~: s/LlPZ----------- ------------------------- -_!.,-çp_:::::::::::u:~r F:-: ~=~f1-;;;;:::::==~=:;~-~; . ::::::::::~::::::::::::::_-:::~:::::::~:::::::::~::::~::::::::=:~. ------._---- ---------C'iïY-T;.;.~;.;------------------------- - D::---~;;~~~;al In the performanco of this work the undersigned owner (or his authori.ed agent) of said promises and his authori.ed Plumber hereby ag~oe td bo boundan by and submit to all statutes, city ordinances, and rules and regulations prescribed by Ihe Board of Public Works for Ihe governmant of Plumbors, II Is fulher ogreed by Iho undorslgned Ihat no olher uses will be made f th b . ----------7~ 0 e a ove connocloons excepi as hereinalt.r listed. --=:¿#~~""':::_:=-:== I ~~~~- -~ ,-.." STATE OF WISCONSIN) ) SS WINNEBAGO COUNTY) _2ð#¿?J- _-f42-4.!/é't..~__-----, _--Ø3R ~-i--//.k!.~------- -rRqme¡ \Adðrèss) 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 ê, 'tOme owned and occupied by him, or a home that is being constructed that is owned by him, and which will be occupieci by him es his home when completed. That he is not building said heme for the purpose of sale. This effidavit is made for the purpos, of complying with the provisions of the plumbing code of the City of Oshkosh and the State of V"isconsin, which provides that all plumbing work must be done by a licensed plumber except that the plumbing Work may be done by one vhQ owns and occupies his own home providing the installation complies with the plumbing code of the City of Oshkosh and the State of Wisconsin. Thisaffimt undon;tands that the Plumbing work authorized by the permit applied fer, must be done only by this affiant and that he can~ot employ others who are not licensed plumbers to assist with the work, Dated this --L~- day 0 f ...f2¿ð':-'----~"'--' 1922_.' /i£U--2L¿~- Subscribed and sworn to before me this _LrS.rtday of --~, 19.12_. --- '-¡¡} 17 ~ II / / / :..fjl1ß-AL____- Notaryï5t5tfè~~~bago County, Wisconsin My Commission Expires ;-M-JJ2,L2£.L___-