HomeMy WebLinkAbout0000590-Plumbing (inspection)
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PLUMBING PERMIT - Oshkosh, Wisconsin ^ , Permit N~ 590
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OUTSIDE WORK
I Addition or Replat
Date
NEW SEwn WATER STORMS 'EES ,... RElAY S- SEWER WATER STORMS 'EES
From MaIn to Curb Septic Tanks From Main to Curb
FJom Curb to BuUcI1ng Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO. NEW UP. USED "ES NO. NEW REP. USE. FEES NO- NEW REP- USE. FEES
- - -
Batb Tub Garbage DÎI>CIaIII Catch Basins
Wasb Basin Dishwashers Condudo"
- - - - -
Wat.. CIONt Laundramats Greasa Catch Basins
-
Sink Water Softena.. Sump Pump Be Ejectors
Water Heate.. Sanitary Bubbla.. Bar and Soda Wastes
Show.. Baths UriDa1R - ß¡;~J. .7/V~~) /;
.
Floor Dralna Dental Cuspidors
- - -
Laundry Tubs Service Sinks
Inapacl!ons Valuation of the Work Herein Described Fee Verified. Receipted and Recorded Received Permit and Inspection Fees
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In the performance of this work the undersigned owner (or his authorizad agent) of said premises and his authorized Plumber hereby ágree'to/be bounden by ond
submit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
" Is futher agreec! by the undersigned that no other uses will be made of the above connections except as hereinafter listed.
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STATE OF WISCONSIN )
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WINNEBAGO COUNTY
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T '(Adores s
being first duly swarnon oath deposes and says that he is not
a licensed plumber and that he has applied for a plumbing
permit to the Inspector of the City of Oshkosh, to do
plumbing work in ¿, home owned and occupied by him, or a home
that is being constructed that is owned by him, and which will
be occupieÔ by him ",s 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 cf'i"isconsin, which provides that all plumbing work
must be done by a licensed plumber except that the plumbing work
may be done by ope vho Owns and occupies his own home providing
the installation coi;,pHes with the plumbing code of the City of
Oshkosh and the State of Wisconsin,
This affi~nt 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
_lz.tb. day 0 f --~------, 192¿.
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Subscribed and sworn to before me
this JKß day of -~- -' --' 1922_,
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Notary PUbl~bBo County, Wisconsin
My Commission, ExPires:~~~i21:l--__-