HomeMy WebLinkAbout0008148-Plumbing (water heater)
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i(MIT - Oshkosh, Wisconsin¡ Parmit N~ 8148
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¡ Lot Ro.
I Addition or Replat
Dale
OUTSIDE WORK
NIW SEW" WAT" STORMS fEES fEES RELAY S. SEWER WATER STORMS fEES
Fmm MaIn to Curb Septic Tanks From Main 10 Curb
Fmm Cub 10 BuIldlnll Electric Pumps From Cub 10 Building
Repair
INSIDE WORK
--
NO- NEW UP- USEO flEI NO. N'W R'P- USED ,,'S NO. NEW REP. USED ".S
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Bath Tub Gubaga Dilpoeeh CaJch Baslus
WIIIh Basill Dilbwashan Conductors
1- - -
Watft Clont Laun<læ- Grease Catch Basilio
SiDk Water Softeners Sump Pump 8< Ejectors
WaieI' Heat... / [/uV Sanitary Bubble.. Bu and Soda Wastes
Shower Baths Urinalo
Fl- Drlllno Denial Cuspidors
Laundry Tuba Service Sillko
Inopecüono Valuation of the Work Herein Described Fee Verified. Receipled and Recorded Received Permit and Impaction Fe..
-- ---------- --------- 0u1l1de $_._-_/..~4._~-~~-------_._---------------------_. ----__--___h______-----Sewer Feas
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-------------------Final OK $-------------------------------- ---____--n__--___-'---ë;¡ÿ--Y;.uwë;--------------------- Date dJ-/O .7S-
In the parlormance of this work the undersigned owner (or his authorized egent) of said premises and his authorized Plumber heraby agraa to be bounden by and
.ubmit to all statutes, city ordinance., and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It is futher ogreed by the undersigned th.t no other uses will be mad. of the above connections except es.-!>eJ:einaftor listed.
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STATE OF WISCONSIN)
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WINNEBAGO COUNTY
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(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.
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Dated this ~-day
of 1'<ì.4- R. C'- 1--/ . 19 1.5~
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Subscribed and sworn to before me
this
My Commission Expires:
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