HomeMy WebLinkAbout0099461-Plumbing (tub)OSHKOSH
ON THE WATER
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Job Address 1515 W MURDOCKAVE Owner COURTNEY J WAGNER
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 0 Lndry Tray 0 LocaIWaste 0 Wait. St.
Toilet 0 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 99461
01/15/2003
Create Date
Plan
0 Gar Drain
0 Soda Disp
0 Coffee Maker
0 Int GreaseTrap
0 Ext Grease Trap
0
0
0
0
Use/Nature
of Work
REPLACE 2ND FLOOR TUB
Valuation
Issued By
Storm Water
Size
$1,000.00 Plan Approval
Material
Permit Fees
$0.00
Type
# Conn. Type
$20.00
Date
01/15/2003
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 1515W MURDOCKAVE OSHKOSH WI 54901 2170 Telephone Number
OSHKOSH
ON THE WATER
Job Address 1515 W MURDOCK AVE
Contractor HOMEOWNER
Bathtub 1 Shower 0
Whirlpool 0 Floor Drain 0
Lavatory 0 Lndry Tray 0
Toilet 0 Lndry Stndp 0
Res. Sink 0 Disposal 0
Bar Sink 0 Dishwasher 0
Water Heater 0 Sump Pump 0
Site Drain 0 Classrm Sink 0
Roof Drain 0 Breakrm Sink 0
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner COURTNEY J WAGNER
Category 410 - Residential-Interior
Ejector/Grind 0 DipWell 0 F PrepSink 0
Water Softner 0 Drink Ftn 0 ServSink 0
LocaIWaste 0 Wait. St. 0 ShampSink 0
Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0
Bidet 0 Exam Sink 0 Catch Basin 0
Beer Tap 0 Sculry Sink 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 0
No 99461
Create Date 01/15/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int GreaseTrap
Ext Grease Trap
0
0
0
0
0
Use/Nature
of Work
REPLACE 2ND FLOOR TUB
Valuation
Issued By
Storm Water
Size
$1,000.00 Plan Approval
Material Type # Conn. Type
$0.00 Permit Fees $20.00
Date 01/15/2003
[] Pe;mitVoided 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 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 a~ree to perform all work pursuant to rules goveming the described construction.
Signature ~ _/,~? " Date
Agent/Owner
Address 1515WMURDOCKAVE OSHKOSH WI 54901 2170 Telephone Number o~30~'_~-/7(~'