HomeMy WebLinkAbout0000778-Plumbing (toilet)
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Da!e I Lot No. I Block I Ward - --_J Addilion or Repla!
OUTSIDE WORK
NOW SEWEI WATER STORMS fEES FEES RElAY S- SEWER WATER STORMS fEES
From MaIn 10 CW'b Seplic Tanks From Main 10 Curb
From CW'b 10 BuUcllng Eleclric Pumps From CW'b 10 Building
Repair
INSIDE WORK
NO. NEW REP- USED "ES NO- NEW REP. USE. fEES NO. NEW REP. USE. fEES
- - ~ - - ~
Ba!b Tub Garbage Dilpo8II!o CaIc:h BulDs
Wub Buin Dilhwuhen Conductoro
- - ~
J Wa!er Cl_1 V /'0tJ Laundrama!s Grease Ca!ch Buw
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Sink Wa!er Softenero Sump Pump" Ejeclors
Wa!er Hea!en Sanitary Bubblers Bar and Soda Wules
Shower Ba!hs Urinals
noor DtaIIIR Denial CuspidoR
Leunclry Tubo Service Sinb
InopecI1ons Valuallon of Ihe Work Herein Described Fee Verified. Receipled and Recorded Received Permit and Inspection FeH
---------------------------------------____-Oulslde $tb.ø._~-------------------------------------------- ----------------------------Sewer Fees
----------------------------------------------------Inside ------..Iu"?'_Q-----_Plbg. Fees
$----------------------------------------------------...------------------- D~~~j~~í:;-¡; 7
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------------------_----FiDal OK $----------------------------------------------------------------------
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submit to all statutes. city ordinances. and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
e undersigned that no other uses will be made of the above connections- except as hereinafter listed.
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STATE OF WISCONSIN)
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WINNEBAGO COUNTY)
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being fir$t $worn an aath depase$ and says that he is nat
a licensed and that he has applied far a plumbing
permit to. n,] Inspectar of the City af Oshkash,- to. do.
plumbing werle in ¿; 'wme awned and accupied by him, ar a hame
that is being constructed that is awned by him, and which will
be occupieci by him"s his hame when campleted. That he is nat
building said home for the purpase af sale.
This affidavit is made far the purpose of complying 'with
the provisions of tho plumbing cade of the City of Oshko$h and
the State of ii'isoondn, which provides that all plumbing work
must be done by a licensed plumber except that the plumbing work
may be donE' by one vho owns and occupies his own home providing
the installation complies with the plumbing code of the City of
Oshkosh and the State of Wisconsin.
This affiant understands that ths Plumbing work authorized
by the permit. appl_Ìc~d for, must be done an:).y by this affiant and
that he canr-,o-': e¡c,plo~1 other$ who are not licensed plumbers to.
assist with the work,
Dlt'd t>i, -LL d,y of -:i:::;;..D ~. :!~
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Notã"ry PUb~¿~ \IIis cõñšln-
MY COMMISSION EXPIRES
My Commission, Expires ;----_:~!::: 20~~~:._-----