HomeMy WebLinkAbout0008151-Plumbing (sink)
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t Loot No. I Block I Ward
OUTSIDE WORK
I Addition or Replat
Data
NEW SEWER WATER STORMS FEES FEE' RElAY ,. SEWER WATER STORMS FEES
From Maia 10 Curb Septic Tanks From Main 10 Curb
1\'0... Curb In BuDding Electric Pump" From Curb 10 Building
Repair
INSIDE WORK
MO.
NEW
UP.
USID
NO.
"IS
NEW
REP. I USED
"ES
NO.
NEW
REP.
USED
.2ES
Balli Tub
GazllagoDupoEa!a
Catch SuinR
WubBulft
Di8hwuhon
Conductors
Wale aOl8I
Laundr-
a........ CI!I.toh BIUIinR
SIDk
1/
I/~
Sump Pump 8< Ejeclors
Water Softeners
WaI8~ Heaten
So:niI:uy Bubble..
Baz and Soda Wastes
Sbowe BaIha
FlOOl' DrainR
Urillala
Donlal Cuspidors
Laundry Tuba
Service Slftb
IDipaciioDi Veluation of Ihe Work Herelft Described Fee Verified. Receipted and Recorded Received Permit and Inspection Fees
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In the performance of this work the undersigned owner (or his authorized agent) of said pramises and his authorized Plumber hereby agree to be bounden by and
submit to all statutes, city ordinances, and rules and regulations prescribed by the Bo.rd of Public Works for the government of Plumbers.
Ills futher .greed by the undersigned thai no other uoes will be made of Ihe aboy. connections except as hereinafter listed.
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STATE OF WISCONSIN
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WINNEBAGO COUNTY
be:..)¡v;;,;i !3rJ U ,,¡; ~~ ,
(Name)
/3~5 R~¡r
(Address)
d<:>
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 being 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
~ í; / - 1925
~ f1~. {)hAP'/ Jð>'~~
Subscribed and sworn to before me
Chi" ..iL-~ ,.192&:-
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Notary Public, Winnebago County, Wisconsin
My Comrnissio~ Expires:
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