HomeMy WebLinkAbout0099828-Plumbing (2nd floor bath)OSHKOSH
ON THE WATER
Job Address 808 E IRVING AVE
Contractor HOMEOWNER
Bathtub 0 Shower
Whirlpool 0 Floor Drain
Lavatory 1 Lndry Tray
Toilet I 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
Owner DONALD P DAILEY
Category 410 - Residential-Interior
0 Ejector/Grind 0 Dip Well 0 F Prep Sink
0 Water Softner 0 Drink Ftn 0 Serv Sink
0 Local Waste 0 Wait. St. 0 ShampSink __
0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink
0 Bidet 0 Exam Sink 0 Catch Basin
0 Beer Tap 0 SculrySink 0 Wash Ftn
0 Dent. Oper. 0 Hand Sink 0 Urinal
0 Lab Sink 0 Plaster Sink 0 StandpRec
0 Sterilizer 0 Surgeons Sink 0 Ice Maker
No 99828
Create Date 02/14/2003
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
REMODEL 2ND FLOOR BATH
AFTER FACT PERMIT
Valuation
Issued By
Storm Water
Size Material Type # Conn. Type
0
0
0
$1,000.00 Plan Approval $0.00 Permit Fees $120.00
Date
02/14/2003
[] 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 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 this wor~, I/3gree to~.~ffo~m a~ork pursuant to
Signature~ ~ ~~~
~ ~ ~en~Owner
rules governing the described construction.
Address 2880 OMRO RD OSHKOSH WI 54904 7766
Telephone Number