HomeMy WebLinkAbout0099928 POSHKOSH
ON THE WATER
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
No 99928
JobAddress 2543 VILLAGE LN Owner PHILIP S LIN Create Date
Contractor HOMEOWNER Category 411 - Residential-Water Heaters Plan
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp
Lavatory 0 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker
Toilet 0 Lndry Stndp 0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int GreaseTrap
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap
Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn 0
Water Heater 1 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
02/24/2003
Use/Nature
of Work
WATER HEATER REPLACED BY SOPER PLBG
Valuation
Issued By
Storm Water
$450.00 Plan Approval
Size Material Type
$0.00
Permit Fees
# Conn. Type
$20.00
Date
02/24/2003
Permit Voided
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 Date
Agent/Owner
Address 2543 VILLAGE LN OSHKOSH WI 54904 8173 Telephone Number 232-9576
OSHKOSH
ON THE WATER
· lob Address 2543 VILLAGE LN
Contractor HOMEOWNER
Bathtub 0 Shower
Whirlpool 0 Floor Drain
Lavatory 0 Lndry Tray
Toilet 0 Lndry Stndp
Res. Sink 0 Disposal
Bar Sink 0 Dishwasher
Water Heater I Sump Pump
Site Drain 0 Classrm Sink
Roof Drain 0 Breakrm Sink
Use/Nature
of Work
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner PHILIP S LIN
Category 411 - Residential-Water Heaters
0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0
0 WaterSoftner 0 Drink Ftn 0 ServSink 0
0 Local Waste 0 Wait. St. 0 ShampSink 0
0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0
0 Bidet 0 Exam Sink 0 Catch Basin 0
0 Beer Tap 0 SculrySink 0 Wash Ftn 0
0 Dent, Oper. 0 Hand Sink 0 Urinal 0
0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 99928
Create Date 02/24/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int GreaseTrap
Ext Grease Trap
WATER HEATER REPLACED BY SOPER PLBG
Storm Water
Size Material Type # Conn. Type
Valuation $450.00 Plan Approval $0.00 Permit Fees $20.00
Issued By
Date 02/24/2003
[] Permit Voided
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/~lit issued to a properi¥ licensed Master Plumber.
In the performance of ~1~ v~, I~g~ee t~/¢/e'r~orm a, Jl work pursuant to rules governing the described construction.
Signature ~"~(//~i~'///~,''/'~ "' ---'--"- Date
' ' /j/ U/ - Agent/Owner
Address 2543 VILLAGE LN OSHKOSH
W._J_I 54904 8173 Telephone Number 232-9576