HomeMy WebLinkAbout0009146-Plumbing (bathtub)
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PLUMBING PERMIT - Oshkosh, WiscOI?;sin 'j
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I Block I Ward
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Permit N~ 9146
Street
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1 Lot No.
I Addillon or Replat
Dete
OUTSIDE WORK
NEW SEwn WATER sroRMS .... filS RElAY S- SEWER WATER STORMS flES
From MaIn to CW'b Septic Tanks From Main to Curb
~ CW'b to BuUcllng Electric Pumps From CW'b to Building
Repair
INSIDE WORK
NO.
NEW
..P-
NO-
NEW
REP- I USED
NEW
filS
RIP, I USED
fEES
flO-
USID
filS
Bath Tub
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Garbage Diaponls
Catcb Basins
Wuh Basin
Diab..ashers
Conducto..
Weter CI_t
Laundramets
Grease Cetch Basins
f--
SIDk
Weter Softene..
Sump Pump" Ejectors
Water Heeters
Sanitary Bubblers
Bar and Soda Wastes
Shower Bath8
Urinals
noo.r ])ra!u
Dental Cuspidors
Laundry Tubs
Impactions
---------------------------------------__-----Outside
---------------------------------------------------In.!de
Service SiDb
~uallon of the Work HereiD Described
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S
Fee Verified, Receipted and Recorded
Received Permit and Inspecllon Feel
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Date ~A¿;{
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City r"..u",
---------------------EiDaI OK
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In the performance of this work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agrae to ba 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 egreed by the undersigned thet no other uses will be mede of the ebove connections except as hereinafter listed.
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Plumbing Ino..,"..
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STATE OF WISCONSIN)
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WINNEBAGO COUNTY)
fJ~1--~~~--) J?~E~~() ìY,
\Name
1;;' I !7?ðI1JNð'£
-"TAddress)
OcS A kos 11
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 C~ty of Oshkosh, to do
plumbing wox-k in e ').Ome owned and occupied by him, or a home
that is being cons~ructed tiì¿Jt is owned by him, and which will
be occupied by him ,eS his home wrlen c;omplet;;'!d. 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 visconsin, Which provides that all plumbing work
must be done by a lic\'Jnsed plumber except that the plumbing work
may be done by one ~ho owns and Dccupies his own home providing
the installation complies with the plumbing code of the City of
Oshkosh ¿Jnd the St3te of Wis con9in.
My Commission,Ëxpires:-L~g£~~~---