HomeMy WebLinkAbout0065006-Plumbing (water lateral)
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OSHKOSH
ON THE WATER
Job Address
Contractor
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Use/Nature
of Work
Valuation
Issued By
CITY OF OSHKOSH
No 0065006
PLUMBING PERMIT - APPLICATION AND RECORD
909 BISMARCK AVE
HOMEOWNER
Owner DANIEL E PISTOHL & WF Create Date 07/07/98
Category 410 - Residential-Interior Plan
Ejector/Grind Dip Well F Prep Sink Gar Drain
Water Softner Drink Ftn Serv Sink Soda Disp
Local Waste Wait. St. Shamp Sink Coffee Maker
Clothes Wshr Ice Chest FlrlWst Sink lnt GreaseTrap
Bidet Exam Sink Catch Basin Ext Grease Trap
Beer Tap Sculry Sink Wash Ftn
Dent. Oper. Hand Sink Urinal
Lab Sink Plaster Sink Standp Rec
Sterilizer Surgeons Sink Ice Maker
Shower
Floor Drain
Lndry Tray
Lndry Stndp
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
CONNECT TO CITY WATER
Size
#
Conn. Type
Material
Type
Storm Water
$300.00
$0.00
$10.00
Plan Approval
Permit Fees
Date 07/09/98
U Permit VOided I
The undersigned, in applying for a plumbing permit to install plumbing in a single family home ownedan,d occupied as the
principle residence of the undersigned, hereby acknowledges, per Wisconsin State Statutes, ss 145.0('that other individuals
will not be employed to assist with the work described by this permit. If an individual will be empl'oyed 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 puAsuant to rules governing the described construction.
Signature QLA"- v(\\ '\/VI +u t'-.\l Date
Agent/Owner
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OSHKOSH
Telephone Number d~ - ~qQl
Address 909 BISMARCK AVE
WI 54901 - 5813
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Job Address
Owner
Category
:htub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Use/Nature
of Work
909 BISMARCK AVE
DANIEL E PISTOHL & WF
410 - Residential-Interior
Shower
Floor Drain
Lndry Tray
Lndry Stndp
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
I CONNECT TO CITY WATER
- --- -- ----
Plumbing Permit Work Card
Permit Number 0000000 6.::;;00 ~
Contractor HOMEOWNER
Create Date 07/07/98
f!!>~
Value 300. 7~
f .
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Sanitary Sewer
Storm Sewer
. ...ter Service
Date
r
Plan
Ejector/Grind Dip Well F Prep Sink
Water Softner Drink Ftn Serv Sink
Local Waste Wait. St. Shamp Sink
Clothes Wshr Ice Chest FlrfWst 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
Ize
;"-
q
Type
Inspector
U Approved
F 7/ ~1/i7
(fl.