HomeMy WebLinkAbout0000681-Plumbing (fixtures)
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PLUMBING PERMIT - Oshkosh, Wisconsin j Permit N'? 681
Hame Street
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I LoiNo. Þ- I Ward
OUTSIDE WORK
¡""AdditiOn or Repl&!
Date
NOW SEwn WATER STORMS fEES fEES RELAY S. SEWER WATER STORMS fEES
From MaIn to Curb Septic Tanks From Main to Curb
FNm Curb to BuDding Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO.
NOW
UP.
flU
NO.
NEW
REP. I USED
fEES
NEW
REP.
fEES
USED
NO.
USED
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Garbage Dblpooa1s
Catch Bulrul
Batb Tub
Dlshwuhers
Conductors
Wub BulD
Gre... Catch Bulrul
Laundramals
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Water CI088t
ii, pO
Water Softeners
Sump Pump 8< Ejectors
v'
SIDk
Water Heate..
Sanitary Bubblers
Bar and Soda Wutes
Shower Baths
UriDaIs
noor »raIDs
Dental Cuspidors
Laundry Tubs
Iaspections
Servic:e Sinks
Fee Verified, Receipted and Recorded
Received Permil and Inspection Fees
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Date 9'//.1:;-/7 '7
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Valuation of the Work Herein Described
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In tho perlormanco of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agroe to bo- b6undon by and
submit to all statutos, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
I! is futhor agreed b
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STATE OF WISCONSIN)
) 55
WINNEBAGO COUNTY)
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TRamel ,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 Inspe~tor of the City of Oshkosh, to do
plumbingwor~ in a home owned and occupied by him, or a home
that i$ being constructed that is owned by him, and which will
be occupieÔ by him as his home when oompleted. That he is not
building said home for the purpose of sale.
This aff~davit is made for the purpose of oomplying with
the provisions of the plumbing code of the City of Oshkosh and
the State cfv'iscot'f.in, which provides that all plumbing work
must be done by a licensed plumber except that the plumbing work
may be done by one ~ho owns and ocoupies his own home providing
the installation co~plies with the plumbing oode of the City of
Oshkosh and the State of Wisconsin.
Thisaffimt 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 /5"' day of <"', .<é',o I...,,-,ð-.<',Æ . 19"77.
, - ~-=-
before me
My Commission Exoires: MY COMMitSION r~:(cir:~S
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