HomeMy WebLinkAbout0009293-Plumbing (toilet, sink & water heater)
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PLUMBING PERMIT - Oshkosh, Wisconsin Permit N'? 9293
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I Lot No.
I Block - ______1 Ward
I Addition or Replat
Date
OUTSIDE WORK
NEW SEWn WATER STORMS fEES FEES RElAY 5- SEWER WATER STORMS FEES
From MaIn to Curl> Seplic Tank. From Main 10 Curb
""'m Curb 10 BuDding Electric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO.
NEW
NO.
FEES
NEW
REP. I USED
FEES
"0.
NEW
UP.
USEO
FEES
REP.
USED
Bath Tub
Garbage DiIpo&a\o
Dlsbwuben
Catcb BulDa
Will> Buin
I~-
Conducto..
Water Cl_t
SIDk ...r~ ~
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Sump Pump 8< Ejectors
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j.Oð
Laundramatto
Greue Catch Buinl
I--
Water Softene..
Water Heate..
7
Sanitary Bubblers
Bar and Soda Wule.
Shower Batbs
UriDats
nOOl' DzeIJIs
Denial Cuspidors
Laundry Tubs
Iaapections
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Service Sinks
Fee Verified, Receipted and Recorded
V,;uation of the Work Herein Described
ff 36 Ó, ð ð
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Received Permit and Inspection F-
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D~~--¿;¿:h~al
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City T,....",
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In the psrformance of this work the undersigned owner (or his authorired agent) of said premises and his authorized Plumber hereby agr.. to be bounden by and
submit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the governmant of Plumbers.
It Is futher agreed by the undersigned that no other uses will be made of the above connectionyjexcept as hereinafter liste<!.
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Plumbing Ino""" --------
STATE OF WISCONSIN)
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WINNEBAGO COUNTY)
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a licensed plumber and that he has applied for a plumbing
permit to the ng Inspector of the City of Oshkosh, to do
plumbing work in " :'Offie owned and occupied by him, or a home
that is being constructed that is owned by h~m, and which will
be occupieci 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 ~1sconsin, 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 ~;t,stQ of Wis consin.
This affiant understands that the Plumbing work authorized
by the permi app1ied for, must be done only by this iJffiant and
that he canno": e,~1ploV others who are not licensed plumbers to
assist with the work,
Oate,d tbÜ t.~/U6,y '~f ~- -,- - ò.' 19;-'
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Subscribed and sworn to befo em
this _-L~ day o~----, 19 7¿.
NO~n,rn
My Commission Expires ;-__Lil:-,¡}3 :.22--
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