HomeMy WebLinkAbout0000815-Plumbing (lav/toilet/shower)
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PLUMBING PERMIT - Oshkosh, Wisconsin ,'I Permit N~
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I Lot No. I Block _I Ward I Addition or Re '-Iat
----------------------
815
Date
OUTSIDE WORK
NIW SEWO WATER STORMS FEES FEES RELAY S- SEWER WATER STORMS FEES
From MaIn to Curb Septic Tanks From Main 10 Curb
~m Curb to BuUcI1ng Eleelric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO.
NEW
UP-
flES
NEW
REP- I USED
NO.
NEW
USED
FEES
REP.
FEES
USED
NO.
Bath Tub
Garbage Dlapocalo
Dlahwashen
Catch BulDs
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I
/1
/1
I-
Wuh BulD
,00
Conduclora
Gr.... Catch BulDs
¡,OO
Laundrllll1Ù8
Watar CI0881
Sink
Water Softenera
Sump Pump II< Ejeclors
Water Heaten
Seniluy Bubblers
Bar and Soda Wasles
I
/rðO
UriDals
Showar Batiul
"./
noor Dr8lna
Denial Cuspidors
Laundry Tuba
InIpacI1ons
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Service Sinks
Received Permit and Inspection F-
------------- ----------Bewer Fees
_-----.2r.4'?_Q_------_Plbg. Fees
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In the performance of this work tho undersigned owner (or his authorized agont) of said premises and his authorized Plumber hereby agree to ba bounden by and
submit to all statut.., city ordinanc.., and rules and regulations prescribed by the Board of Public Works for the governmant of Plumbars.
It Is futher agreed by t~ undarslgned that no other uses will be mede of the above connedions excapt as hereinaltor listed.
Valuation of Ihe Work HerelD Described
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Fee VerUied. Receipled and Recorded
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STATE OF WISCONSIN)
, ) SS
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 Plu~bing Inspector of the City of Oshkosh, to do
plumbing wor- ( in i) home owned and ocoupied by him, or a home
that is being constructed that is owned by him, and which will
be occupied by him E:S his home when completed. That he is not
building said heme for the purpose of .ale.
This affidavit is made for the purpose of complying with
the provisions of tho plumbing code of the City of Oshkosh and
the State of V-'isconsin, which provides that all plumbing work
must be done a licensed plumber except that the plumbing work
may be done by one ~ho owns and occupies his own home providing
the installation coi..pJ.ies with the plumbing code of the City of
Oshkosh and the St3te of Wis consin.
This affiant understends that the Plumbing work authorized
by the permit applied for. must be done only by this affiant and
that he ca amplo:' others who are not licensed plumbers to
as¡ist with work
Dated this 2_- day of _&J/../...ø.Á.£.L?.._----~-, 19..7-1-'
sworn to befor~u...~-------
, f71~~ 19..22
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Winneb~go County, Wisconsin
My Commis 51 oh Exoires: . MY corWi3S'ON EX~lf"'S
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