HomeMy WebLinkAbout0008656-Plumbing (interior)
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PLUMIf.NG'PERMIT - Oshkosh, Wisconsin' \, Permit N? 8656
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L~otll'o, I Block I Ward I Addition or Bepl&!
OUTSIDE WORK
Due
NEW SEWEll WAYEII STORMS FEES FEES .EIAY S. SEWE' WATE' STORMS FEES
From Main to Curb Seplic Tanks From Main to Curb
FRom Curb ill BuUcIlng Electric Pumpo From Curb to Building
Repair
INSIDE WORK
NO. NEW "P. USED "ES NO. NEW "P. USED FEES NO. NEW 'EP. USED 'EES
Bath Tub 7 'I ðö Garba;o DÏllpon]s Cuch BaslDs
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Wuh Bum ) ~f) Disbwuhen Conductors
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Wu. Clooet ", d Ó Laundrarous lOt) Grease Ceich Bullis
SIIIII: / /~C10 Wuer Softenors Sump Pump" Ejeclors
Wu.r Hollie.. / / ¡{)Q Sanitary Bubblors Bar and Soda Wasto.
SM"',"" BUha Urinols
F1oœ DrUns Donta! Cuspidors
Launclry Tubs Sorvic:o SiDks
Inspodiou Va!uuion of the Work HereiD Describod Feo Verified. Receipted and Rocorded Received Pormit and Inspoclion FOOl
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--,. .'/2 .::22-.. '.!..f Z_~_-Insido .__~.02o.__..._.PIbg. FOOl
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In Ihe performance of Ihis work the undersigned owner (or his authori.ed agent) of said preml.es and his authori.ed Plumber hereby agree to bo bounden by and
submll to all .tatutes, city ordinances. and rules and regulations prescribed by Ihe Boord of Public Works for the government "f Plumbers.
II Is futhar agreed by Ihe undersigned thai no other uses will b. m.de of the above <onnection. except .s hereinafter Ii
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STATE OF WISCONSJ:N )
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(Kame) \Mdress¡
WJ:NNEBAGO COUNTY
being first duly sworn on oeth deposes and says thet he is not
a licensed plumber and that he has applied for a plumbing
permit to the n9 Inspector of the City of Oshkosh, to do
plumbing work in a home owned and occupied by him~ or a home
that is being constructed that is owned by him, and which will
be occupied by him as his home when completed. Thet he is not
building said hcme for the purpose of sale.
This óòfficlavit is made for the purpose of complying with
the provision~ of thE plumbing code of the City of Oshkosh and
the State c,f V':isco.nsin, which provides that all plumbing work
must be done by a licensed plumber except that the plumbing work
may be done by o~e ~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.
This affimt undontands 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 wcrk.
D,tod Chi, - d,y of ~' 19~,
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Subscribed and sworn to before me
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, 19 _?5.
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Nûtar County7 wisëõñšiñ-
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