HomeMy WebLinkAbout0001041-Plumbing (bathroom & misc)
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STATE OF WISCONSIN )
) SS
W~NNEBAGO COUNTY )
~~- '~1~~--___--____, _j_~_CJO~ ~.I.t..l1&J) --~l .
~~ej (Address)
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 werk in <3 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~s his h<;:>me when completed. That he is not
building said home for the purpose of sale.
This aff5,davi t is. made' foJ;' the purpose of complying with
the provisions of thE plumbing code of the City of Oshkosh and
the State cf 1f"isconsin, 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(l'pJ.ies with the plumbing code of the City of
Oshkosh and the ate 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 a~e not litensed plumbers to
assist with the work.
Da t ed t his 42-- day 0 f ~.ttt'9..9...a-&.1-----""'I----' 19 _1a..
~-----~
Subscribed and $worn to before me
thi$ -')?~1A of ~/f' 19-21:-
. Notary PubITc, -~9~isconsr:n
MY COMMISSi?mE~
My Commission Expires ~ JULY 20,1981
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