HomeMy WebLinkAbout0050155-Plumbing (interior connect)
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'OSHKOSH
ON THE WATER
Job Address 3388 HARBOR BAY RD
PLUMBING PERMIT - APPLICATION AND RECORD
CITY OF OSHKOSH
No 0050155
Contractor
HOMEOWNER
Bathtub Shower 1 Ejector/Grind
-
Whirlpool Floor Drain 1 Water Sonner
Lavatory 1 Lndry Tray Local Waste
-
Toilet 1 Lndry Stndp Clothes Wshr
Res. Sink Disposal Bidet
Bar Sink Dishwasher Beer Tap
Water Heater Sump Pump Dent. Oper.
Site Drain Classrm Sink Lab Sink
Roof Drain Breakrm Sink Sterilizer
Owner BEN GOYKE Create Date 12/08/95
Category 410 - Residential-Interior Plan
Dip Well F Prep Sink Gar Drain
Drink Ftn Serv Sink Soda Disp
Wait. St. Shamp Sink Coffee Maker
Ice Chest Flr/Wst Sink Int GreaseTrap
Exam Sink Catch Basin Ext Grease Trap
Sculry Sink Wash Ftn
Hand Sink Urinal
Plaster Sink Standp Rec
Surgeons Sink Ice Maker
Use/Nature
of Work
CONNECT TO CITY SEW & WTR
Size
Material
Type
#
Conn. Type
Storm Water
Valuation
$700.00
Permit Fees
Issued By
$20.00
Date 12/08/95
U 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 performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature f?-~ ~ ~/.
Agent/Owner
Address -S7f><6/trPPY i1ry ?D.... Oshkosh
Date J:l-~' '1s
.
WI 54901 - 0000
Telephone Number (414)233-2499
Job Adctress
Owner
;'
Category
'htub
,"hirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Use/Nature
of Work
3388 HARBOR BAY RD
BEN GOYKE
410 - Residential-Interior
Plumbing Permit Work Card
Permit Number 0050155
Contractor HOMEOWNER
Plan
Shower 1 Ejector/Grind
Floor Drain 1 Water Sonner
1 Lndry Tray LocalWaste
1 Lndry Stndp Clothes Wshr
Disposal Bidet
Dishwasher Beer Tap
Sump Pump Dent.Oper.
Classrm Sink Lab Sink
Breakrm Sink Serilizer
~,
Dip Well
Drink Ftn
Wait. St.
Ice Chest
Exam Sink
Sculry Sink
Hafld Sink .
Plaster Sink
Surgeons Sink
...r'-; .. .'T'
'-::""
CONNECT TO CITY SEW & WTR
Sanitary Sewer
Conn.Type
Storm Sewer
o,er Service
Size
Material
Type
#
Date
~,
, '
Type
Inspector
(;f &-- l:Jf 1/ 9,~
1(, !l-/IY75
P f ~/('7C;-
~ v/.~- /fJo X 6~
F Prep Sink
Serv Sink,
Urinal
Standp Rec
Ice Maker
~;,:
U Approved
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