HomeMy WebLinkAbout0008990 P
......
)
R-
ot
Plumber
" PL:~\\>t;::.ING PERMIT - Oshkosh, Wiscon~in!) P.rmit N':' 8990
..............Q.¡'¿N..OC.............................................. ::!:r ......::J!..J..d~~¡L...........................: :~:r ......./8"J~J......Q~.Le..........J:.L....__-
I Lot Ro. I Block I Ward
OUTSIDE WORK
I Addition or Replat
Dille
NIW SEWEI WAIEI STOIMS FEES FEES IEIAY S. SEWEI WAIEI SIOIMS fElS
From MaIn to Curb Seplic Tanks From MaiD 10 Curb
~ Curb to BllUdlng Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO.
111'.
NIW
USED
flES
NO.
NEW
REP. I USED
FEES
NO.
NEW
IEP. I USED
flES
Batb Tub
1
~
Gre... Catch Buw
I.i)!)
},OO
1/,00
Garbag. DÌIpOIaIs
Catch BuinI
Wub Buin
Wate C!oIet
Dilbwuben
Conduclors
LaUDdramab
Sink
":~'cWIlle. Heat...
Water SofI......
Sump Pump" Ejeclor.
Sanilary Bubblers
tJ1'ÙIals
Bar and Soda WHles
..
8hower Baths
Floœ DraIDa
Denial Cuspldo..
LaUDdzy Tubs
Serriee Sinks
Inspecllons . V;alion of Ibe Work Herein Described Fee Verified. Receipted and Recorded Received Permil and In.pectlon F-
~~~~~ :~=~~~=:=:= _._-..-=--- z~~;-
In tho performance of this work the undersigned owner (or his authorired agant) of said premises and his authorized Plumber hereby agree to be bounden by and
.ublnlt to all statute.. city ordinance.. and rule. 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 connection. except as hereinafter listed.
-~~~~~~~~::~=~:~=::::::::::=::::::::::~::=::
Plumbing In......,
..-+...................................-.................-.-
,-/' ,""
STATE OF WISCONSIN)
) SS
WINNEBAGO COUNTY)
-kflj) t? -"-. .,£Ù:Æfl-... s ----~-' -_1.,,9.5: ') Qf-~~---, 51 r. ------
~el ,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 ~he City of Oshkosh, to do
pluIT!binq work in c, ;"ome owned and occupied by him, or a home
that is being constructed that is owned by hi~, and which will
be occupied by him es his home when completed, That he is not
byilding said heme for the purposs of sale,
This affidavit ~s made for the purpose of complying with
the provisions of the plumbing code bfthe City of Oshkosh and
the St"te of V"isconsin, which provides that all plumbing work
must be done by a licensed plumber except that the plumbing work
may be done by one ~ho owns and occupies his own home providing
the installation coí"pHes wj,.th the plumbing code of the City of
Oshkosh and the State of Wisconsin,
This understands that the Plumbing work authorized
by the permi applied for, must be done on19 by this affiant and
that he ,ca enplov others who are not licehsed plumbers to
assist with work,
D't" Ohi, ii'" d" of ~ ' . 19 7 ¿,'
Sob"rib" ,,' o~r~' b,foro :~~----
4:~ Z~' 19-4£,
otafY pubïic,-wInn'ëbagoëounty';"WIšcõñšIñ-
-: ' My sien Expires 1-H-,==.Li".../1_2Þ