HomeMy WebLinkAbout0009990-Plumbing (kitchen sink)
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PLUMBING PERMIT- - Oshkosh, Wisconsin
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I Block I Ward
Permil N? 99f10
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1 Lot No.
I Addition or Replat
Date
OUTSIDE WORK
NOW SEW" WATER STORMS 'EES FEES RELAY 5- SEWER WATER STORMS FEES
From MaIn 10 Curb Septic Tanks From Main 10 Curb
FJom Curb to BuDding Eleclric Pumps From Curb to Building
Repair
INSIDE WORK
NO.
NEW
UP-
FlES
NEW
REP. I USED
FEES
NEW
IE..
REP-
USED
110-
USED
NO-
Batb Tub
Garbage DilpooaIa
Catcb Baslus
f--
"¥
Conductors
Wub Basin
Dishwashers
Water Cl....t
Laundramab
Grease Catch Baa1ns
f--
SbIk
2J
Water Softeners
Sump Pump 8< Ejeclors
~öò
Water Heate..
Sanitary Bubblers
Bar and Soda Wastes
Shower Baths
Urinals
Floor DrÛ118
Denial Cuspido..
Laundry Tubs
~:~:_----------------------_____Oulside
Service Sinks
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Fee Verified. Receipted and Recorded
Received Permit and Inspecllon Fees
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------------------------_----FIDal OK
In the performance of this work the undersigned owner (or his euthorbed agent) of said premises end his authori.ed Plumber hereby agree to be bounden by end
submit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
listed.
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STATE OF WISCONSIN)
) S5
WINNEBAGO COUNTY)
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11/2 e~~~¿)
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being first duly $worn9n.o~th deposes and says that he is not
a licensed plumber, and that he has applied for a plumbing
permit to the nwmbing II1spector9f the City of Oshkostl, tc;> do
plumbing wor < in å borne owned ¡¡nd occupied by him, or a home
that i~ being constructed that is owned by him,and which will
be occupied byhj,m as his home when completed. Th¡¡the is not
building said home for thepurpos~ of tale.
This affidavit is madefo%' 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 thðt the plumbing work
may be done by one v;ho owns and occupies his own home providing
the in¡¡¡tallation complies with the plumbing code of the City Of
Oshkosh and the State of Wis consin.
This affiant understands that the Plumj:)ing work authorized
by the permit. applied for, must be done only by this ¡¡ffiant and
that he cannot Hmploy others who ðre not licensed plumbers to
assist with the work.
Š f. . Jl.'
Dðted this-?! -"--. .. day Of..';.....~....lD... .. ..'. --y fl. ï 7,
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Sùb""b,d ond oworn to b,',.. m .. .
tilis .. { f>!; d'YÆ.~' '. .9 77.
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. a y PubI¡c, Wiññëbago County, ~iscons~
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