HomeMy WebLinkAbout1976-Plumbing (fixtures)
..-.,
)
",)
~,
H.....
of
Plumber
PLUMBING PERMIT - Oshkosh. Wisconsin Permit N~ 9245
~.~~--..~---g.JY¿.!'!..e£_......--._.~-~-~~~-~~~~---~~--. ::!:r ~-~._j?-_h"~__'- :~:r -_/~-t.L_.71/.~'_____h"___--
I~k I~ . I~
OUTSIDE WORK
I Addition or Replat~
Date
NIW SEWEI WATER STORMS FE" FE" RELAY S. SEWER WATER STORMS fEES
From MeIn to Curb Septic Tanks From Main to Curb
FJom Curb to Building Electric Pumps From Curb to Building
Repair
INSIDE WORK
NO. NEW UP. USED .... NO. NEW REP. USED FE" "O. NEW REP. USED FE"
/ - ~
Bath Tub pl1() Garbage DI8~ CII!cb Bu1ns
I - -----
Wub Basin /,OC Dishwashers Conductoro
/ /.(}õ - - - - -
Watu CIONt LaundramatA Grease Catch Basins
-
SIJIIo: Water Softeners Sump Pump 8< Ejectors
Water Heaters Sanitary Bubblers Bar end Soda Wastes
Shower Baths / /lJD Urinals
Floor DralDa Dental Cuspidors
Laundry Tubs Service Sinks
JDlpedlons v$,ation of the Work Herein Described Fee Verified. Receipted and Recorded Received Permit and Inspection Foeo
---'--'~----ø.._.----__Outside $ - i:§..l/ -- <! -, --- "'- 9.- -------------- -----. --- ~7;_~h__----h--.sewer Fees
___h_hh' -- ----;;;;¿~~m___Jnside ::¡f~g./J_---Plbg. Fees
~=~~ØZ~=:;~-~; $~~--~------'---'-~------h'-----------------------'--_--__h----'" D~:¿:j;3:;al
----- '~-h'--Ó¡;ïT~;;~;;;--__"'h__--------m
$---_------~--h_--_----'--------------_---_--h_'_h_---------
In the performance of thi. work the undersigned owner (or his authorized agent) of said premises and his authorized Plumber hereby agree to be bounden by ""d
submit to ell statutes, city ordinances, and rules and regulations prescribed by the S...rd of Public Works for the government of Plumbers.
" " '...., ..... .. ,~ ...~."~ ... ~ .." .". .m .. - . .. _. '~~4
=~~1);;;;::Æ~~~z..h~~: ~~í~~:: ~~'--: :...::::.----- ..::_:::::: ---_: -_:: ::_::_:
PI"""'ln9 In,po<to'
<Þ)v' /Ye'/I
STATE OF WIS. GON..SIN}
SS
WINNEBAGO COUNTY
'\
~\ ~~i:m'h'ß ' R~ ~R~tT
, \ :J.. \.\ \\J" \r\V +-
\Äaaress)
being first duly sworn on oath deposes and says that he is not
a licensed plumber. and that he h~s applied fo1: a plumbing
pe1:mit to the Plumbing Inspecto1: of the City of Oshkosh, to do
pll,lmbing work in a borne owned and occupied by him, or a horn\,!
that is being constructed 'that is owneq by him, and which will
be occupied by him ~S his home when c~mpleted. That he i~ not
building said home fo;r: the'pUl'Þ9se of sale.
This affidélVit 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 wo1:k
may be done by one v:ho owns and occupies his own home pr~viding
, the installation complies with the plumbing code otthe City of
Oshkosh and the State of Wigonsin.
This affiant understands that the Plumbing work autho1:ized
by the permit applied for. Ø\I,IS1; be done only by this affiant and
that he cannot employ othefS who ue not Ucensed plumbers to
assist with the work.
Dated this .-1.- day Of
Subscribed
My Commission Expires: (.:2...c2 -3-- 7'f
"';.
"ZJ
"I