HomeMy WebLinkAbout0000772-Plumbing (interior)
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PLUMBI~G\~ERMIT - Oshkosh, Wisconsin -, -. Permit N<: 772
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OUTSIDE WORK
l Addition or Replù
NOW SEW" WATE. STORMS fEES FEES 'E'AY S- SEWE' WATE' STORMS 'EES
From MaIn to Curb Seplic Tanks From Main to Curb
From Cub to BuDding Elecuic Pumps From Curb to Building
Repair
INSIDE WORK
NO. NEW REP- USED fEES NO. NEW 'EP. USE. FEES 1<0. NEW .EP. USE. 'EES
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/ Bath Tub /'" IJ, fl7J Garbage DIR~ Cùeb Bulna
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L Wuh Basin /' I/,m Dishwashen - Conductors
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/ Wùar CI_t /' /w I LaundramatR ./' ¡æ Grease Cùch Baslna
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SIDk /" Üz; Wùer Softeners Sump Pump Be Ejectors
I WÙ8r H.ù... /' ,8'l! Sanitary Bubblers Bar and Soda Wastes
Shower BùbR UrinaIR
noor DrÙIII Dental Cuspido.. 1-
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Laundry TuIoo Se...ice Sinks
IDlpoctiODl :2;;~~r.:__:::::.:::=.:: Fee Verified, Receipted and Recorded Received Permit and Inspection F...
-.............-..---.........-.......-.-...-.._....Oulside ......................-.....8ower Fees
-...--...-.....--........-.....-...-....-.....--......-Inside ...6.ß._4:...........PIbg, Fee.
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In the performance of thi. work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to -be bOundan by and
.ubmit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the governmant of Plumbers.
II Is futher agread by the undersigned that no other use. 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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,being first duly swcrn on oath deposes and says that he is not
a licensed plumL'é'r. and that he has applied for a plumbing
permit to the Flumb:in.) Inspector of the City of Oshko$h, to do
plumbing wer- ( in ¿, 'wrr,e owned and occupied by him, or a home
that is being constructed that is owned by him, and which will
be occupiec; by him ç,S his home when completed. That he is not
building said heme 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 Oshkos~ and
the State of V"isconsin, which provides that all plumbing work
must be done by a licensed plumber except that the plumbing work
may be done by one vho owns and occupies his own home providing
the installation complies with the plumbing code of the City of
. Oshkosh and the :',t3t() of Wis consin.
This nt understands that the Plumbing work authorized
by the permi applied for, must be done only by this affiant and
that he canno~ emplou others who are not licensed plumbers to
assist with the work.
Dated this -.-11)-- day of .ftJd~_____--, I 97-¡2-'
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Subscribed and sworn to before me
to" l~ d,y of ~, 19..2),
Nõtãry p Jfçr:1~k~~t!J{tnty, wiscõñšIn
. MY COMMiSSION ¡;Xß!fU,&
My Commission, Explres;____J~~20,~!U_-------