HomeMy WebLinkAbout0015589-Plumbing (kitchen sink/washer)
~ " PERMIT .....,. ~PLlCATION AND RECORD CITY OF OSHKOSH r: f.
Address -3 O()é( ~/ ¿ ¿e ø Owner ll/.hevf Lfar:
Lot Alock Ward Subdivision
Type of Permit:
PLUMBING CONTRACTOR
Bu. San. Sewer - Curb to Bu.
Bu. St. Sewer Curb to Bu.
Main to Curb:
Main to Curb
Sewer Fees
Water Service
Bath Tub Floor Drain Urinal
Wash Basin ----'- Garbage Disp. - S. Sink
Water Closet - Dish Washer - Catch Basin
Kit. Sink / Laundry Mach. L- S. Pump -
(
Water Heater - Water Soft. B & S Waste -
Shower Bath - Bubbler Conductors
Plumbing Fees Total Fees
HEATING CONTRACTOR
Fuel: Gas 0 Oil 0 Elec. 0 Solar 0 Solid 0
Conditioning Forced Air 0 HW. 0 Elec. Base 0 Steam 0 Radiant 0
System High Elf. 0 Supplementary 0 Air Condo 0 Ventilation 0
Chimney: "A" 0 "B" 0 Direct Vent 0 Con. Burner 0 Flue Damper & E.I. 0
Calculated Heat Loss System BTU Rating
ELECTRIC CONTRACTOR
Electric Service: New
Description-Type
Fixtures-
Appliances
Changes
Temp.
Volts
Recep's
Amps
Circ's
Switches
Electrical Signs
N~
15589
Zoning ~
Insp.
Id. No.
Flood Plain
Permit Date-3:
Wrecking 0
Occupancy Permit
BUILDING Use
.~)¡!>-
General
Roof
Siding
Type of Construction
Foundation
Size:
_feet wide X
feet long
Square feet area
Height:
Stories and Basement
----"I.
----"I.
feet above Grade
No. of Rooms
Mason -
Carpenter
Architect
-
Inspections -
Footing Foundation
.3 Electric Service RI.
0
'" Sewer Water Service
ßo
0
Final
-
5;dtJ " Date
Width of Lot
l
'1
Estimated Cost
Fees Paid
TO THE BUILDING INSPECTOR: In accordance with Section 7-18 of the Municipal Code of the City of Oshkosh, if is agreed that if work shall be
discontinued for a period of 30 days at anytime for any cause after excavation work is commenced, asolid barrier, wall, orwire fence nof less than
five feet in height shall be erected all around such excavafion. Such barrier, wall or wire fence will remain in position until removal is approved by the
Building Inspector.
. X
In the performance of this work the undersigned agrees to abide by and do work pursuant to all statutes, ordinances,
codes, :+-ules governing the describe~
(Signed. ~~ ~ Owner
Address
Phone
BY~ho';"dS;g",,",,)
Agent
Address
Phone
STATE OF. WISCONSIN
)
) ss
)
WINNEBAGO COUNTY
Al6ert ~Qrl-e¡ ~,
(Name.
3061- ~ ~c/ð~~ß
(Address)
being first duly sworn on oath deposes ánd says that he is not
a licensed plumber, and that he has applied for a plumbing
permit to the Plumbing Inspector of the City of Oshkosh, to do
plumbing work in a home öw~ed and occupied by him, or a home
that is being constructed that is owned by him, and which will
be occupied by him as his home when completed. That he is not
building said home for the purpose of sale.
This affidavit is made for the purpose of complying with
the provisions of the plumbing code of the City of Oshkosh and
the State of Wisconsin, which provides that all plumbing work
must be done by a licensed plumber except that the plumbing work
may be done by one who owns and ocCUpies his own home providing
the installation complies with the plumbing code of the City of
Oshkosh and the State of Wisconsin.
This affiant understands that the Plumbing work authorized
by the permit applied for, must be done only by this affiant and
that he cannot employ others who are not licensed plumbers to
assist with the work.
Dated this ~ day of
Øa~e Á
. 19 f?1- 0
'. "/1..,
Subscribed~nd sworn to before me
.. "c/
'¡'i~~Of
Nota ry PUbl"ic, Winnebago Coun
MY
~:2£ ¡;H' ~
My Commission Expires:
,19Lv
JUNE 7, 1987