HomeMy WebLinkAbout0009411-Plumbing (fixtures)
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'0 v./tJ e r PLUMBING PERMIT - Oshkosh, Wisconsin
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Permit N<1 9411
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I Addition or Replat
I Lot Bo.
I Block -I Ward
Date
OUTSIDE WORK
NIW SEwn WAlE. STORMS 'EES fEES .ELAY S. SEWER WAlE. STORMS 'E"
From Main to Curb Seplic Tanks From Main to Curb
h>m Curb to Building Electric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO. NEW UP. USED HE. NO. NEW 'EP. USED fEES NO. NEW 'EP. USED 'E"
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Bath Tub Garbage Dapooa!s Catch :Sutos
Wub BulD Dahwuhen L I. DO Conduclo"
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Water Cloeet LaundraDUÚO Greue Catch Butos
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BIDk I (.00 Water Softene.. Sump Pump iii: Ejecto..
Water Heate.. Sanitary Bubble.. Bar and Soda Wules
Shower IIaibI Urinaia
Floor DrÙDI Denial Cuspido..
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Launclrr TubtI Service Sinks
Inspections :¡IUatiOn of the Work HerelD Described Fee Verified. Receipted and Recorded Received Permit and Inspection F-
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In the performance of this work tho undersigned owner (or his outhorired agent) 01 said premises and his authorized Plumber hereby ogreo to be boundon by end
submit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works lor the government 01 Plumbers.
It Is luther agreed by the undersigned that no other uses will b. made 01 the above connectio!'SA'l'ge! as hereinoltor listed.
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STATE OF WISC()NSIN )
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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 Plu.nb5n<J ¡n~pBctor of the City of Oshkosh, to do
plumbing wcrk in ,3 ;'omeowned ¡¡nd occupied by him, or a home
that is being constructed that is owned by him, and which will
be cccupieÔ 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 of V"!.sconsin, which provides that all plumbing work
must be done by a licensed plumber except that the plumbing work
may be done by one ~ho owns and occupies his own home providing
the installation coĊplies with the plumbing code of the City of
Oshkosh and the State of Wisconsin.
This affiant under:òtands that the Plumbing work authorized
by the permit applied for. must be done only by this affiant and
that he cannot m~plov othars who are not licensed plumbers to
assist with the wbrk, .
D,'edth"..Li- cl,y Of~, ~9k.
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Subscribed and sworn to before me
thi:¿;~. 192£~
Notary Public, Winnebago County, Wisconsin
MY COMMISSION EXPIRES
My Comm~ssion. Expires;__~_~~~S~~-~!~-----