HomeMy WebLinkAbout2003-Plumbing (fixtures)OSHKOSH
ON THE WATER
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
JobAddress 3755 PURPLE CREST CT Owner ROBERT C/COREY MERCKX
Contractor HOMEOWNER Category 410 - Residential-Interior
Bathtub 1 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink
Lavatory 1 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink
Toilet 1 Lndry Stndp 0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin
Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn
Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker
No 99547
01/22/2003
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 INTSALL FIXTURES IN FUTURE ROUGH IN ON THIRD LEVEL OF EXISTING HOME
Valuation
Issued By
Storm Water
Size Material Type
$2,500.00 Plan Approval $0.00 Permit Fees
# Conn. Type
$20.00
Date
01/22/2003
Permit Voided
The undersigned, in applying for a plumbing permit to install plumbing in a single family home owned and occupied as the
principle residence of the undersigned, hereby acknowledges, per Wisconsin State Statutes, ss 145.06, that other individuals
will not be employed to assist with the work described by this permit. If an individual will be employed to install plumbing
the work involved must be covered by a permit issued to a properly licensed Master Plumber.
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 3755 PURPLE CREST CT OSHKOSH WI 54901 8212 Telephone Number
OSHKOSH
ON THE WATER
· lob Addree$ 3755 PURPLE CREST CT
6ontractor HOMEOWNER
Bathtub 1 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
No 99547
Owner ROBERT C/COREY MERCKX Create Date
Category 410 - Residential-Interior Plan
0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain
0 WaterSoftner 0 Drink Ftn 0 Serv Sink 0 Soda Disp
0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker
0 Clothes Wshr 0 Ice Chest 0 Flr/Wst Sink 0 Int GreaseTrap
0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap
0 Beer Tap 0 SculrySink 0 Wash Ftn 0
0 Dent. Oper. 0 Hand Sink 0 Urinal 0
0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
01/22/2003
Use/Nature
of Work INTSALL FIXTURES IN FUTURE ROUGH IN ON THIRD LEV, EL OF EXISTING HOME
Size Material Type # Conn. Type
Storm Water 0
Valuation $2,500.00 Plan Approval $0.00 Permit Fees $20.00
Issued By
Date
01/22/2003
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 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 performance of tJ;;C~work, I agree to perform all work pursuant to rules governing the described construction.
Signature ,~ _ Date
Age/nt/Owner
Address 3755 PURPLE CREST CT OSHKOSH WI 54901 8212 Telephone Number