HomeMy WebLinkAbout0103078 POSHKOSH
ON THE WATER
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Job Address 1717 MOUNT VERNON ST Owner WILLIAM SCHAUER JR
Contractor HOMEOWNER Category 410- Residential-Interior
Bathtub 1 Shower 0 Ejector/Grind 0 DipWell
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn
Lavatory 1 Lndry Tray 0 LocaIWaste 0 Wait. St.
Toilet 1 Lndry Stndp 0 CIothesWshr 0 Ice Chest
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink
Bar Sink 0 Dishwasher 0 Beer Tap 0 Sculry Sink
Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink
0 F Prep Sink
0 Serv Sink
0 ShampSink
0 FIr/Wst Sink
0 Catch Basin
0 Wash Ftn
0 Urinal
0 Standp Rec
0 Ice Maker
No 103078
Create Date 07/24/2003
Plan
0 Gar Drain
0 Soda Disp
0 Coffee Maker
0 Int GreaseTrap
0 Ext Grease Trap
0 RPZ Valve
0 EyeWash Statn
0
0
Use/Nature
of Work
REMODEL 1 ST FLOOR BATH
MOVING FIXTURES FROM PRESENT LOCATION
Valuation
Issued By
Storm Water
Size
$2,500.00 Plan Approval
Material Type
$0.00 Permit Fees
# Conn. Type
$20.00
Date 07/24/2003
Permit Voided
The undersigned, in applying for a plumbing permit to install plumbing in a single family home owned and occupied as the
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, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 1717 MOUNT VERNON ST OSHKOSH WI 54901 3025 Telephone Number
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
OSHKOSH
ON THE WATER
Job Address 1717 MOUNT VERNON ST
Contractor HOMEOWNER
Bathtub I ' Shower
Whirlpool 0 Floor Drain
Lavatory 1 Lndry Tray
Toilet 1 Lndry Stndp
Res, Sink 0 Disposal
Bar Sink 0 Dishwasher
Water Heater 0 Sump Pump
Site Drain 0 Classrm Sink
Roof Drain 0 Breakrm Sink
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner WILLIAM SCHAUER JR
Category 410 - Residential-Interior
0 Ejector/Grind 0 DipWell 0 F Prep Sink
0 WaterSoftner 0 Drink Ftn 0 ServSink
0 Local Waste 0 Wait. St. 0 Shamp Sink
0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink
0 Bidet 0 Exam Sink 0 Catch Basin
0 Beer Tap 0 SculrySink 0 Wash Ftn
0 Dent. Oper. 0 Hand Sink 0 Urinal
0 Lab Sink 0 Plaster Sink 0 Standp Rec
0 Sterilizer 0 Surgeons Sink 0 Ice Maker
No 103078
Create Date 07/24/2003
Plan
0 Gar Drain 0
0 Soda Disp 0
0 Coffee Maker 0
0 ]nt GreaseTrap 0
0 Ext Grease Trap 0
0 RPZ Valve 0
0 Eye Wash Statn 0
0
0
Use/Nature
of Work
REMODEL 1ST FLOOR BATH
MOVING FIXTURES FROM PRESENT LOCATION
Valuation
Issued By
Storm Water
Size
Material Type #
0
Conn. Type
$2,500.00 Plan Approval $0.00 Permit Fees $20.00
Date 07/24/2003
[] Permit Voided j
The undersigned, in applying for a plumbing permit to install plumbing in a single family home owned and occupied as the
principle residence of the undersigned, hereby acknowledges, per Wisconsin State Statutes, ss t45.06, 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 performar~ o.~ this work, I~agree to perform all work pursuant to rules governing the described construction.
Signature _~/~/~ CJ~,~ Date
AgentJOwner
Address 1717 MOUNT VERNON ST OSHKOSH WI 54901 3028 Telephone Number
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.