HomeMy WebLinkAbout0008802-Plumbing (fixtures)
PLUMBI~G P~RMIT - Oshkosh, Wisconsin. \ "" Permit N':' 8802
.~ Hame n Z' Street ,/ ----/--
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¡ Lot Ho.
I~ I Ward
OUTSIDE WORK
I Addiiion °l'1!ei'lai
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NEW SEW" WATER STORMS FEES ,",S RElAY S. SEW" WAn. STORMS F'ES
From Main to Curb Septic Tanks From Main 10 Curb
F1-om Curb to Building Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO.
NEW
UP.
USED
fliES
No.
NEW
R'P. I "".
"'S
No.
NEW
.'P. I USED
FEES
Bath Tub
Garbage Diap<Joak
Caic:h Basins
Wuh Buin
.l
/
lor::,
~ Oó
I-
Dish.....h....
Conductors
WIIi- C~t
LaUT1<b:-
Grease Caic:h Bains
81ak
Wilier Softellers
Sump Pump 8< Ejeclors
WÚtlr Helliers
ssnUary Bubblers
----1-
!lor alld Soda Wasles
8ho..... ,Baths
/
I- (JÓ
trriøa1e
F1oœ Dralris
Denle! Cuspidors
La""d>!y Tubs
Service Sinks
)
J""pecIions Ve!uaiion of the Work Herein DescribEd Fee Verified. Receipled and Recorded Received Permil and Inspection Fees
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In th" performance of Ihis work Ihe undersigned owner (or his aulhorized agenl) of said premises and his aulhorized Plumber hereby agree 10 be bounden by and
submil 10 all stalules. city ordinances. and rules and reg.ielion. prescribed by Ihe Boord of f'.biic Works for Ihe governmenl of Plumbers.
I! Is fulher agreed by Ihe undersigned Ihat no olher u..s will he mede 01 Ihe above con".ctions e".epl os .ereladlor lisled.
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STATE OF WISCONSIN)
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22!:::L1L4L.- -4~1_d2_!{'L~ -þ<;-yp
(Name /
WINNEBAGO COUNTY
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being first duly sworn on oath deposes and says that he is not
a licensed plumber, and that he has applied fora 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 occupiecì by him .as his home when completed. That he is not
building said home for the purpose of sale.
This afUdavi t ¡s made for the purpose of complying with
the provisions of the plumbing code of the City of Oshkosh and
the State of i/!iscondn, which provides that all plumbing work
m\lst be donG by a licensed plumber except that the plumbing work
may be done by one ~ho owns and occupies his own home providing
the installat5.on cot.plies with the plumbing coc:Je of the City of
Oshkosh and the State of Wis consin.
nt understands that the Plumbing work authorized
applied for, must be done only by this affiant and
emplQu others who are not licensed plumbers to
work.
Dated this ------ day of -------~--------------' 19____.
_~4~~œ~~
Subscribed and sworn to before me
i;hbc1.V - day Of~~_>;9~.
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My Com~tssion Expires: -_..I..:d..:;:-2ý:2.C-~--