HomeMy WebLinkAbout0009297-Plumbing
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PLUMBING PERMIT - Oshkosh, Wisconsin
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I Lot Ho. I Block I Ward
OUTSIDE WORK
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I Addition or Replot
Dal.
NOW SEwn WATER S'ORMS FEES fEES RELAY S. SEWER WATER STORMS fEES
From MaIn 10 Cub Seplic Tanks From Main 10 Curb
~m Cub 10 BuDding Electric Pumps From Curb 10 Building
Rep.,;.
INSIDE WORK
NO. NEW UP- USED FEES NO. NEW REP. USE. FEES NO. NEW REP. USS. fEES
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Bath Tub Goobage DII~ Catch Basins
Wuh Basin Dllhwashers - Conduct.rs
- - - - -
Wal.. CI_I Laund..malJl Greue Calch BasÙUI
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SiDlE Wale. Softeners Sump Pump Ik Ejectors
Wale. H.aI... Sanitary Bubblers Boo and Soda W..les
Show.. BaIhJI UoIDail /J&/V / p-> /f7 /
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nOM DoaIDJI Denial Cuspidors
Laundrr Tullo Service Slnb
I...pecIIons Valuation of Ihe Work Herein Described Foe Verified. Receipled and Reco.ded Received Permit and Inspection F-
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In the performance of thi, work the undersigned owner (or hi, authorired agent) of said premise, and his authorired Plumber hereby agrea to be bounden by end
submit 10 all statutes, city ordinences, and rules and regulation, pre,cribed by the Board of Public Wo,ks for the government of Plumbers.
It is futher agreed by the undersigned that no other u5O' will be made of the above connections except as hereinafter Ii,ted.
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(;l---- ",mho.
STATE OF WISCONSIN)
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WINNEBAGO COUNTY)
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\Name¡
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\Adâriffl~
being first duly swarnon 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 é1 home owned and occupied by him, or a home
that is being constructed that is owned by him, and which will
be occupieÔ by him as his home when completed. That he is not
building said home for the purpose of sale.
This <ïffidavit is made for the purpose of complying with
the provisioDS of the plumbing code of the City of Oshkosh and
the StEite of copsin, 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 co¡;:p1ies with the plumbing code of the City of
Oshkosh and the, St.3te of \!Vis çonsin.
This 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 Ire not licensed plumbers to
assist with the work
Dated this ;¡)L_- dEiY of -___4)y-~~..._.-._, 19.?þ
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Subscribed and sworn to b~fore m~----
's-.~- day
~ Jxy Commis'Sion. Expires :__L,';I:=.cJd:29--___-