HomeMy WebLinkAbout0000394-Plumbing (interior)
~
')
H-
01
Plumbe~
ì
PLUM31MG PERMIT - Oshkosh, Wisconsin p;~mit N<: 394
.....æu."=~&!L.L....__._.._._.................. ::!:~,;f!J~L.~ld~kC-~ :?m:~ .........,3j;J.........:::É..,...;!.t!.i._ç;;:) ..
I Lot No. I~ I Ward I 'Addition or Raplat
OUTSIDE WORK
Data
NIW SEwn WAlE. STORM. FEE. 'EE. RELAY .. .EWE. WATER STORMS FEE.
F- MaID to Curb Seplic Tanks From Main to Curb
~ Curb to Bundlng Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO.
NEW
..,.
HIS
NO.
NEW
.E,. I U'E.
"E'
NO.
NEW
U.E.
FEE.
.E'.
USED
Beth Tub
Garbage DiIpoAla
Catch BolDs
Wub Boin
Dishwohers
Conductors
WatN CI_t
f
/
Greue Catch BolDs
/. tTO
Laundramata
I-
~-r;/
SIJIk
Wate~ Softeners
Sump Pump 8< Ejectors
Waiar Heaten
Sanitary Bubblers
Bar and Soda Wotes
ShOWN Batba
L
I
Dental Cuspidors
1/ r-O
Urinals
1/< ctJ
noo.. ~aina
Laundry Tub8
Service Sinks
Inspections ...........Ouiside
~:~:~=:::::::~~=::=:::==~~::::=..._._.....Inside
Valuation of the Work Herein Described
$<.......¥tJ.t2.:<..~.............._.._.._...............<
.
Fee Verified. Receipted and Recorded
Received Permit and Inspection Fees
:::.~:~.::.~~r F:7
Date &, J ,;1 77
--..-.---....--.-..--Einal OK
$..................................--...........-..-..............-...
'<"'«<"""""""ë'liÿ'T;;;;;~;ë;""""""""""-""
In the performance of this work the undersigned owner (or his authorized agent) of said premise. and his authorized Plumber hereby egree to be bounden by and
submit to ell statutes. city ordinances. and rules end regulations prescribed by the 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 as hereinafter listed.
=~~=:~::::::~~l~i.~¿¥#:.:..'::::......:.".::.::.:....~.:......
~;¿¿~A/.~~:l..tfl.........
Plum"',
,,' "<~
STATE OF WISCONSIN)
) SS
WINNEBAGO COUNTY)
~~.'1 /< --~~ ----
(N'aiñ e I
...3 I;¿ 5/ dO+! /'-,
--r-------T----~~
,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 Inspector of the City of Oshkosh. to do
plumbing work in ", 'Jorr,e owned and occupied by him, or a home
that is being constructed that ~s owned by him, and which will
be occupied by him as his home when completed. Thåt he is not
building said home fer 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 {'is cons in. which provides that all plumbing work
must be done by e licensed plumber except that the plumbing work
may be done by one ~ho owns and occupies his own home providing
the installation Co¡,'pJ.ies with the plumbing code of the City of
Oshkosh and the State of Wisconsin.
This affiant under;tands that the Plumbing work authorized
by the permit applied for. must be done only by this affiant and
that he can~ot emplou others who are not licensed plumbers to
assist with the work.
Dated this ~-~ day of -------..,,-9~-' 19.:Z2..
. Æ;V~~&
Subscribed and sworn to before me
this - /3 day of ~-~-, 19../ 7.
----- ~ h /J ~ ~~------------~
Notai~~Winnebago County, Wisconsin
MY COMMISSION EXPiRES
My Commission Expires:___~~~~~~~~--------