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PLUMBING PERMIT - Oshkosh, Wisconsin
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I Lot Ho. I Block I Ward
OUTSIDE WORK
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Permit Nf>-v8572
Sireet
N~~ber --__m--___5:}..i:t-__---Jd--/jL_~-
I Addiiio-"--,,r Re¡>lat
Date
NEW SEWER WATER STORMS 'EES 'F'S .ElAY S. SEWF. WATE. STORMS FEES
From MaID to Curb Septic Tanks From Main 10 Curb
!\rom Culb to BuUdtog Elecl,,;c Pumpa From Curb to Building
Rapan-
INSIDE WORK
NO.
RIP.
USED
NEW
FEES
NO.
NFW
REP. I USED
FEES
NO.
NFW
.EP.
USED
FEES
Bath Tub
Wuh BuùI
I
7
GreBle Catch Basins
¡~o
/GC
/00
Garl>ego Dlzpooals
Catch Bum.
I-
Dish..ab...
Conductors
Weter CI....t
Laundram&ts
8liiio:
Watsr Softeners
Sump Pump Ik Ejectors
Water Heaters
Show.. .BaØUI
Sanitary Bubblers
Urinals
Bu and Soda Wasles
1'1- DraIDs
Laun<l%y Tubs
Denial Cuspidors
Sarvice Sinks
IlISpections -.----..Outsida
-------'--:-'::::::::~-::::::_--=_--_.__Insida
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Valuation of tha Work Herein Described
¿; él () ðÓ
$-------£.--------...------",------------------------------
Received Permil and Inspection F-
-----~------m.se..er Fees
.t:f---~Q..Q-_-PIbg. Fees
:B_3."-~_~_Total /
Date y /..~)j
Fee Verüied. Receipled and Recorded
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-----------Final OK:
In the parlormance of Ihis work the undersigned owner (or his aulhorized age.!) of said preml..s and hi. authorized Plumber hereby agree to be bounden by and
submit to all stalules, city ordinances, and rules and regulations pre.cribed by the Board of Public Work. for the government of Plumbers.
It Is futher agreed by the undersigned that no other use. will be made of the above <onneclions except as hereinafter listed...
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STATE OF WISCONSIN)
) 55
W¡NNEBAGO COUNTY)
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\~ame! \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 ng In¡pector of th~ City of Oshkosh, to do
plumbing werk in ¿; 'tOme owned and occupied by him, or a home
that is being constructed that is owned by him, and which will
be occupie" by him as his home when completed. That he is not
building said he,,-,", fer the purpose of sale.
This affidavit is made for the purpose of complying with
the provisi.ons of thE plumbing cQde of the City of OshkoSh and
the State of v"i-sconsin, which provj.de~ that all plumbing work
must be dona by a licensed plumber except that the plumbing work
may be done by ore vho owns and occupies his own home providing
the installationcoœplies with the plumbing code Df the City of
Oshkosh and the 5t.3tO ef Wis eonsin.
This affiant understands that the Plumbing work authorized
by the permit applied fer, must be done only by this affiant and
that he ca""o;: eœplo\! others who are not licensed plumbers to
assist with the worK.
Dated this -~- day
0 f :J4(:4Zd~c____--, 1 92!£.
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