HomeMy WebLinkAbout0099212 POSHKOSH
ON THE WATER
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
No 99212
Job Address 1931 OHIO ST Owner STEVEN J NYHUIS Create Date 09/12_/2002
Contractor HOMEOWNER Category 410- Residential-Interior Plan
Bathtub 1 Shower 0 Ejector/Grind 0 Dip Well 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 LndryTray 0 Local Waste 0 Wait. St. 0 ShampSink 0 Coffee Maker
Toilet 1 LndryStndp 0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int GreaseTrap
Res. Sink 1 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap __
Bar Sink 0 Dishwasher 0 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
of Work
~FR/Constructing a 20'x9' master bedroom addition on the back of the house and remodeling the bathroom. All loads are required to
)roperly transfer to the foundation. The addition will be constructed on piers with treated floor framing. This permit
Valuation
Issued By
Storm Water
Size Material Type # Conn. Type
0
0
0
0
$1,000.00 Plan Approval
$0.00 Permit Fees $20.00
[] Permit Voided
Date 12/27/2002
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 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.
Signatureln the performanceJ;)f tl-/is work, I agree~-p~rform all work pursuant to rules governing the described construction.~....~..,~ ~'~ "' ~/~~(' L~J Date /2 /2 '7
/ /
~..~ - ~" Agent/Owner
Address 1931 OHIO ST OSHKOSH WI 54902 6854 Telephone Number 233-8596