HomeMy WebLinkAbout0087922-Plumbing
e CITY OF OSHKOSH No 87922
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1644 HUNTERS GLEN DR Owner MARK T/BETHANY ANDERSEN Create Date 07/30/2001
Contractor
HOMEOWNER
Category 410 - Residential-Interior
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Use/Nature
of Work
Shower
Floor Drain
Lndry Tray
Lndry Stndp
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Gri nd Dip Well F Prep Sink
Water Softner Drink Ftn Serv Sink
Local Waste Wait. St. Shamp Sink
Clothes Wshr Ice Chest FlrlWst Sink
Bidet Exam Sink Catch Basin
Beer Tap Sculry Sink Wash Ftn
Dent. Oper. Hand Sink Urinal
Lab Sink Plaster Sink Standp Rec
Sterilizer Surgeons Sink Ice Maker
Plan
Gar Drain
Soda Disp
Coffee Maker
Int GreaseTrap
Ext Grease Trap
FINISH LOWER LEVEL BATHROOM
Storm Water
Size
Material
Type
#
Conn. Type
Valuation
Issued By
$1,640.00
Date 07/30/2001
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 propE!rly licensed Master Plumber.
Signature
Plan Approval
$0.00
Permit Fees
$20.00
D Permit Voided I
o , aQ ee to perform all work pursuant to rules governing the described construction.
Address 1644 HUNTERS GLEN DR
Agent/Owner
OSHKOSH
WI 54904 - 8965
- -
Telephone Number
Date
7~~/
.