HomeMy WebLinkAbout0008146-Plumbing (sink)
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Name
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Plumber
PLiJMOING PERMIT - Oshkosh, Wisconsin , i, Permit N? 8146
"' , ~ Name .' ", ,',',.,i ~ Street
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1- Lot No. I Block I Ward I Ad,dlUon or Replat
Dato
OUTSIDE WORK
NEW SEWEll WAT" STORMS lEES FEES R"AY S. SEWER WATER STORMS FEES
From MaIn to Cwb Septic Tanks From Main to Curb
FIom Cwb 110 BuDding Electric Pump' From Curb to Building
Repair
INSIDE WORK
NO. NEW RIP. USED FlES NO. NEW REP. USED FEES NO. NEW REP. USED FEES
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Bath Tub G""bage DiIpooaJa Ca!ch Bum.
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Wuh Bulls Disbwashen Conductors
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Wat. CIOII8t Laundramlltl Greue Catch lIulDs
Sbsk / [Ir/.O,) Water Softeners Sump Pump II< Ejectors
Wator Heaters Sanitary Bubblers B"" and Soda Waites
SIw",.. BathR Urbsa1s
Floor DrabsR Dental Cuspidors
Laundry Tube Senice 811sb
IDlpec!loDi Vff:ion of the Work Herein 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 s.id premis.s and his authorized Plumher herehy agree to be bounden by and
submit to all statutes. city ordinances. and rul.. and regulations prescribed by the Board of Public Works for the government of Plumbers.
It Is luther agreed by the undersigned that no "ther usas will be made of the above connections except .s hereinafter listed.
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Plumbing Ino.....'
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STATE OF WISCONSIN
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WINNEBAGO COUNTY
G//Þe/'t Æff:is'Þer~,
Name)
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(Address
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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 /l1QY'(Y,/
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. 19 /--5'
Subscribed and sworn to before me
My Commission Expires:
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