HomeMy WebLinkAbout0008016-Plumbing (water meter)
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PLUMBING PERMIT - Oshkosh, Wisconsin', Permit N? 8016
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OUTSIDE WORK
Addilion or Replal
Date
NEW SEWER WATER STORMS fEES fEES RElAY S. SEWER WATER STORMS fEES
From MaiD to Curb Seplic Tanks From Main 10 Curb
From Curb in Building Electric Pumps Frcm Curb 10 Building
Repair
INSIDE WORK
NO.
"',.
NEW
USED
flES
NO.
NEW
RE'. I USED
FEES
NO.
NEW
RE'. I USED
FEES
-
Bath Tub
Wub Buin
Garbage Dløpooa]a
Catch Buin.
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Dlsh..aahen
Conductors
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Water CIOI8t
Laundram&ts
Gre..... Catcb Basins
SIDk
Water Softe"",rs
Sump Pump 81: Ejector.
Wu.r Heaters
Sanitary Bubblers
Bar and Soda Wastes
Shower Baths
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7
~oo
UriDels
Floor Ðrmlu
Dental Cuspidors
LaundJ:y TiIbs
Service Sinks
IDlpectloDl V~tion of the Work Herein Described Fee Verified. Receipted and Recorded Received Permit and Inspection Fees
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In the perfermance of this work the undersigned owner (or hi. authorized agent) of said premises and his authorized Plumher hereby agree t~ be bounden by and
submit to all statutes, city ordinances. and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
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STATE OF WISCONSIN
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WINNEBAGO COUNTY
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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 Plumbing Inspector of the City of Oshkosh, to do
plumbing work in a home owned and occupied by him, or a home
that is being constructed that is owned by him, and which will
be occupied by him as 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 of Wisconsin, which provides that all plumbing work
must be done by a licensed plumber except that the plumbing work
may be done by one who owns and occupies his own home providing
the installation complies with the plumbing code of the City of
Oshkosh and the State of Wisconsin. /
This affiant 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
day of
--. 19
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Subscribed and sworn to before me
this
Nota ry
My Commission Expires:
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