HomeMy WebLinkAbout0009631 P
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.. PLUMBING PERMIT - Oshkosh, Wisconsin Permil N~ 9631
~ ~ Name I Street. . "'.. . ¡j
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I Bl~k I Ward
I Lot No.
I Addilio.n or Replal
Date
OUTSIDE WORK
NEW SEWEll WATER S'ORMS FEES FEES RElAY S. SEWER WATER S'ORMS FEES
From MaIn 10 Curb Seplic Tanks From Main 10 Curb
From Curb 10 BuDding Electric Pumps From Curb 10 Building ..
Repair
INSIDE WORK
110.
"P.
FEES
USED
FI"
NO.
NEW
RIP. I USED
FEES
NO.
NEW
NEW
REP.
USED
Bath Tub
L
L
/
/,0"
~
~
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Garbage DÏIpoIaIs
Catch Buirls
Dish.uhen
Wash BulD
Conductors
Laundramùl
Water Cl_t
Greue Catch BulDa
SiDII:
Water Softeners
Sump Pump Be Ejectors
Bar and Soda Wules
WateR Heaten
SanUary Bubhlers
Shower Baths
UrlDals
nODI Dr8lu
Denial Cuspldon
Laundry Tubs
Servlee SlDb
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In the performance of this work the undersigned owner (or his authorired agent) of said premises and his authorized Plumber hereby agree to be bounden by and
submit to ell statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
II Is futher agreed by the undersigned that no other uses will be mede of the above connections except as hereinafter listed.
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Plomtit.. '.opec""
STATE OF WISCONSIN)
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WINNEBAGO COUNTY)
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\ NamëT ~/
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being first duly sworn on oath deposes and says that he is not
a licensed plumber, and that be has applied for a plumbing
permit to the Flumbin(j 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 ~isconsin, which provides that all plumbing work
mu¡t 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 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 wi th the work.
Dated this ...::L4- day of -.-~- -' 19-24.
Sub,crib,d ,nd OW,," to b'fO;:~~
this B- day of -~-, 19 ?6' ,
Nota~~c,~~ounty, wišëõñšr~
M C . . E 'y CO"""~O'¡'N EXPIRES
Y ommls Slon. xpues: ~::,',;~;;~~*--a;?oí'i-----