HomeMy WebLinkAbout0008248 P
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PLUMBING PERMIT - Oshkosh, Wisconsin l' " Permit N? 8248
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.\ Lot No. I Block I Ward I Addition or Replal:
OUTSIDE WORK
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NEW SEWEI WAIEI STORMS FEES FEES .ELAY S. SEW'. WATER STORMS fEES
From MaiD to Curb Seplic Tanks From Main to Curb
F1rom Curb to BuUdlng Eleclric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO. NEW UP. USED FEES NO. N'W .'P. US'O fEE. NO. NEW .'P. USEO fEES
-
Búh Tub Garbage DiJpoaalI Catcb BulnR
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Wuh Buin Dish",...h..... Conductors
W- CI_l LaundramúJ G~eue Catch B...1nR
SInIi: Wúe~ Softeners Sump Pump 8c Ejeclora
-
Wúe~ Heúe.. 'X Sanitary Bubblers Bar and Soda W...lea
Show. IIúhs UriDa1a
~ ~1IIDa Dental Cuspidors
Launcl!y Tubs Senice Sinks
Inspections Valuation of Ihe Work Herein Described Fee Verified, Receipted and Recorded Received Permit and Inspeclion Fees
------- ----- --m- Outside $ - ---_I.i!!..>5:.~-~ ------ -------------- ---- ----------------Se"'e~ Fees
---------___-__Inslde ------_..L_-~-PIbg. Fees
-----q:--r~:1------- $-------------------------------------------- -----Þ_.-~_Total
____3 .~----F1naI OK $---------------------------------------------- ------------------m-ë,;Ÿ-ii-è-;;ü,õ;-------------- Date ,¡/- / ð". Ä--F'
In th. performance of this work the undersigned owner (or hi, authorired agent) of ,aid preml,., and hi, authorized 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 Plumbers.
It Is futher agreed 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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~y~ 1Nam~)7-.;u (Address)
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 b~ing 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
c~
~~
. 19 IS-
Subscribed and sworn to before me
this -d day of ¿Ž;~ ,19 .25-.
~UrJÄ ~
Notary Public, Winnebago County, Wisconsin
MY COMMISSION EXPIRES
My Commission Expires: MARCH 12,1978