HomeMy WebLinkAbout0008251-Plumbing (sink)
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PLuMBING PERMIT - Oshkosh, Wisconsil'i \" Permit N~ 8251
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¡BlOCk I Ward
1 Lot No.
I Addilion or Replal
Date
OUTSIDE WORK
NEW SEWn WATER STORMS 'EES fEES RElAY S. SEWER WATER STORMS 'EES
From MaID to Curb Septic Tanks From Main 10 Curb
From Cub to BuUdIDg Eleclrlc Pumps From Curb 10 Building
Repair
INSIDE WORK
NO.
REP.
FEES
USED
NEW
FEOS
NO.
NEW
REP. I USE'
FEES
NO.
NEW
REP- I USE'
-
Bath Tub
Garbago Dilpoaah
Catch Baalns
Wub Buin
Dilbwßlhen
Conductors
-
Wat... CI_t
Laundramatl
Gre..... Catch Bulm!
Sid:
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Sump Pump 8< Ejeclors
'/.M
Water Softeners
Water Heaters
Sanitary Bubblers
Bar and Soda Wutes
Sho..... BathR
Urinals
n...... »raIDs
Dental Cuspidors
LaWldry Tubs
Iupections
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Service Sinks
V1ation of the W.rk Herein Described
$ _-'!¡jl__~_L_--QjL------- ------- -------
Fee Verified. Receipted and Recorded Received Permit and Inspection Fees
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--~~.(1.__f¿__-PIbg. Fee.
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In the performance of this w.rk the undersigned owner (or his authorized agent) of soid premises and his authorized Plumber hereby egree to be bounden by and
submit to III statutes, city ordinances, and rules and regulations preo<ribed by the Board of Public Works for tho government of Plumbers.
It is futher agreed by the undersigned that no other UNS will be mode of the above connections except IS hereinaftar lisled.
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Plumbt.g 1.0_'
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STATE OF WISCONSIN
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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 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.
Dated this
da y of
.19
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Subscribed and sworn t
My Commission Expires:
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