HomeMy WebLinkAbout0095244-Plumbing
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- OSHKOSH
ON THE WATER
Job Address 2427 BLAKE CT
~~,
CITY OF OSHKOSH No 95244
PLUMBING PERMIT - APPLICATION AND RECORD
Owner L.B./BONNIE L STANDIFER III Create Date 06/19/2002
Contractor
HOMEOWNER
Category 410 - Residential-Interior
Plan
Size
Material
Type
#
Conn. Type
Storm Water
o
o
o
o
o
Valuation
$500.00
Plan Approval
$0.00
Permit Fees
$20.00
Issued By
Date 06/19/2002
o Permit Voided I
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 P~k. ~ perfo~ all wor~ pursuant to rules governing the described construction. .
signat~e )~ ~ ~ Date~-J2-~
Agent/Owner
Address 2427 BLAKE CT
OSHKOSH
WI 54904 7890 Telephone Number 233-1029
". Plumbing Permit Work Card
2427 BLAKE CT Permit Number 95244 Create Date 06/19/2002
L.B./BONNIE L STANDIFER III Contractor HOMEOWNER
rte~~ry 410 - Residential-Interior Plan Value $500.00
,.htub 0 '~'hower 0 EJectorlGrind 0 Dip Well 10 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Lavatory 1 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 1 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FlrlWst Sink 0 Int Grease Trap 0
-
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 Sculry Sink 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
- -
0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
INSTALL FIXTURES ON PREVIOUSLY INSTALLED ROUGH-IN PLUMBING
Size
Material
Type
# Conn.Type
o
o
o
o
o
F 1/1 ~! () "Y
o
o
o
o
o
Type):inal
" ~~;<'<''''
o
o
o
o
o
fnspeCtor WJ (Chip) Caliies
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