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HomeMy WebLinkAbout0090397- Plumbing (Bathroom/Water Heater) 0 CITY OF OSHKOSH No 90397 OSIJKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 944 N LARK ST Owner JAMES G DOBISH Create Date 03/01/2001 Contractor HOMEOWNER Category 410-Residential-Interior Plan Bathtub 1 Shower Ejector/Grind Dip Well F Prep Sink Gar Drain Whirlpool Floor Drain Water Softner Drink Ftn Sery Sink Soda Disp Lavatory 1 Lndry Tray Local Waste Wait.St. Shamp Sink Coffee Maker Toilet 1 Lndry Stndp 1 Clothes Wshr Ice Chest Flr/Wst Sink Int GreaseTrap Res.Sink Disposal Bidet Exam Sink Catch Basin Ext Grease Trap Bar Sink Dishwasher Beer Tap Sculry Sink Wash Ftn Water Heater 1 Sump Pump Dent.Oper. Hand Sink Urinal Site Drain Classrm Sink Lab Sink Plaster Sink Standp Rec Roof Drain Breakrm Sink Sterilizer Surgeons Sink Ice Maker Use/Nature of Work 1)REMODEL BATHROOM 2)REPLACE WTR HTR 3)INSTALL ACW STAND PIPE Size Material Type # Conn.Type Storm Water Valuation $2,000.00 Plan Approval $0.00 Permit Fees $30.00 Issued By Date 10/11/2001 0 Permit Voided i The undersigned,in applying fora plumbingpermit to install plumbingin a single familyhome owned and occupied as the 9 � 9 P� principle residence of the undersigned,hereby acknowledges,per Wisconsin State Statutes,ss 145.06,that other individuals will not be employed to assist with the work described by this permit. If an individual will be employed to install plumbing the work involved must be covered by a permit issued to a properly licensed Master Plumber. In the performance of this work,,II agree to perform all work pursuant to rules governing the described construction. Signature z;e4.1 .1 ,r( , GS'en!/ Date �G'—� ' 0/ Agent/Owner /G'—//2- Address 758 MONROE ST OSHKOSH WI 54901- 0000 Telephone Number hil Plumbing Permit Work Card Job Address 944 N LARK ST Permit Number 90397 Create Date 03/01/2001 Owner JAMES G DOBISH Contractor HOMEOWNER .gory 410-Residential-Interior Plan Value $2,000.00 ......stub ! 1 Shower Ejector/Grind Dip Well F Prep Sink Gar Drain Whirlpool Floor Drain Water Softner Drink Ftn Sery Sink Soda Disp Lavatory , 1 Lndry Tray Local Waste Wait.St. Shamp Sink Coffee Maker Toilet 1 Lndry Stndp / 1 Clothes Wshr Ice Chest FIr/Wst Sink Int Grease Trap Res.Sink Disposal Bidet Exam Sink Catch Basin Ext Grease Trap Bar Sink Dishwasher Beer Tap Scully Sink Wash Ftn Water Heater / 1 Sump Pump Dent.Oper. Hand Sink Urinal Site Drain Classrm Sink Lab Sink Plaster Sink Standp Rec Roof Drain Breakrm Sink Sterilizer Surgeons Sink Ice Maker Use/Nature i--- of of Work 1 1)REMODEL BATHROOM 2)REPLACE WTR HTR 3)INSTALL ACW STAND PIPE Size Material Type # Conn.Type n 1 /1/ / SI © / Sanitary Sewer 1 / . f // 7/V ,-- Storm Sewer i '1 • t Water Service • Date 00/00/0000 Type Inspector J Approved