HomeMy WebLinkAbout0075676-Plumbing (remodel)
e CITY OF OSHKOSH
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 524 W NEW YORK AVE
Contractor
HOMEOWNER
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/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Dent. Oper.
Lab Sink
Sterilizer
No 0075676
Owner KELLY BURNETT Create Date 03/02/2000
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 FlrlWst 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
REMODEL KITCHEN & 2ND FLOOR BATHROOM AND REPLACE WATER HEATER
Storm Water
Size
Material
#
Conn. Type
Type
Plan Approval
Valuation $3,000.00
Issued By r:c.-
$0.00
$28.00
Permit Fees
Date 03/02/2000
D 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 agre to perform all work pursuant to rules governing the described construction.
Signature!/fi Date
Agent/Owner
Address 716 MTVERNON STREET
OSHKOSH
WI 54901 - 0000
Telephone Number