HomeMy WebLinkAbout0099162 PCITY OF OSHKOSH No 99162
PLUMBING PERMIT - APPLICATION AND RECORD
OSHKOSH
ON THE WATER
Job Address 456 MOUNT VERNON ST Owner JOHN/JULIE ANN M KARNER Create Date 04/26/2001
Contractor HOMEOWNER Category 410 - Residential-Interior Plan
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp
Lavatory 0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker
Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0 Int GreaseTrap
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap __
BarSink 0 Dishwasher 1 Beer Tap 0 SculrySink 0 Wash Ftn 0
Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use/Nature SFR/AFTER THE FACT/Install dishwasher. *See Electric Permit #85565. 12-16-02, dishwasher replace by homeowner in the year
of Work Following the electdc permit.
Size Material Type # Conn. Type
Storm Water 0
Valuation $700.00
Issued By.~.~
Plan Approval $0.00
Permit Fees
$20.00
[] Permit Voided J
Date 12/20/2002
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 performan(!.e~.,cLf th ~ work, I agree to perform all work pursuant to rules governing the described construction.
Signature~(~ ~ /~.~~*~-~ Date
/~,~// Agent/Owner
Addres~.~,.,56 MT VERNON ST OSHKOSH WI 54901 4938 Telephone Number