HomeMy WebLinkAbout0008554 P
1"-
~
PLUMBING PERMIT - Oshkosh, Wisconsin Perltlfi' 'Nr: 8554
Hame Hame Slreet
~ ~~ -------fl.It(IY_?f_---------------------- O:;er ----___Le~Ér_______i:_I!Jl¡S___--------------..._----------- N:~'\,.,~ -_/.q/f!..--.._L~:I:.$---__------
I Lot No. b I Ward I Addition or Replat
OUTSIDE WORK
Date
NAW SEW" WATER STORMS 'EES FEES ..,AY S- ,"WE. WATE. STORMS FEES
F- MaIn to Curb Septic Tanks From Main to Curb
l'\'om C...b to Building Eleclric Pumps From Curb to Building
Repair
)
INSiDE WORK
NO. NAW REP- USED FlES NO, NEW .EP. USED "ES NO- NEW REP. USED FEES
/,00 -
IIath Tub Garbag" DiopooaIa Ca1cb BasinB
j,OO !---
Wuh BuiD Dish..""h... Conductors
¡ T - - -
WatH CI_t /, ðfJ Laundrama1tl ¡'O( Greue Ca1ch Basins
8II1II: J ).O{) Wa1er Softeners Sump Pump 8< Ejectors
WatH Heate.. Sanituy Bubble.. Bar and Soda Wastes
Shower .Ba1hR U1'ÙIa1s
n""" !)raiDs Dental Cuspido..
Launclzy Tubs Service Sinks
¡Wlpec:tiO"" :£..ti(t:_~~~~~:::~~::::~ Fee Verified. Receipted and Recorded Received Permit and ¡""pectio.. Fees
------;:r--T-.-r---_----_OuIIicle -~-----------Sewe~ Fees
~-2I-~_.L~--~ >-___--__Inside ---- ~è__plbg. Feu
I ' $...----------------------------------------------...- D1: ;~~~
------------ ---------"'----------ëïtŸT~.;;.;;ë;---------------------
-------FiDeI OK $------------- -----------------------------
)
in the perlormance of this work the undersigned owner (or his authorized agent) of said preml..s and his aulhorized Plumber hereby agree to 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 Plumbors.
It Is futher agreed by the undersigned that no olher uses will be made of the above connoctions oxcopt as ho,einafter listed.
-3J ~:"'~ ,::-==:=:=== I-~~---------
STATE OF WISCONSIN)
) SS
)
-j~¿. £.~--_b. é2£¿¡;-£_~- ' ---Jr;;¿L{¿i !J ß *T~ I~_-
\Namej \Aaarê~l
being first duly sworn on oath deposes and says that he is not
a licensed plumber and that he has applied fora plumbing
permit to the Inspector of the City of Oshkosh, to do
plumbing work in i) ;,ome owned and occupied by him, or a home
that is being constructed that is owned by him, and which will
be occupied by himes his home when completed. That he is not
building said home- for the purpose of sale.
This affidavit is made for the purpoze of complying with
the provisj.ons of the plumbing code of the City of Oshkosh <;¡nd
the State of V'!Hcons;i.n, wh~ch provides that all plumbing work
must be done by a licensed plumber except that the Plumbing work
may be done by ore ~ho owns and occupies his own home providing
the installation complies with the plumbing code of the City of
Oshkosh and the State of Wisconsin.
WINNEBAGO COUNTY
This effhnt under(òta1')ds that the Plumbing wo:rk authorized
by the permit eppJ.ied 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 --~~----, l~
~~-
Subscribed and SWQ to before me
this g;;da' 0' - - -' 192£
-- .. -- - I - -£L..~--~---
Notary blie, W' neb go County, Wisçonsin
My Commission.Expires;___¿~:~~~~---
¡'"