HomeMy WebLinkAbout0099987 POSHKOSH
ON THE WATER
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Job Address 1220 MOUNT VERNON ST Owner DANIEL J ZlPPERER
Contractor HOMEOWNER Category 410- Residential-Interior
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn
Lavatory 1 Lndry Tray 0 LocaIWaste 0 Wait. St.
Toilet 0 Lndry Stndp 0 CIothesWshr 0 Ice Chest
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink
Bar Sink 0 Dishwasher 0 Beer Tap 0 Sculry Sink
Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink
0 F Prep Sink
0 Serv Sink
0 ShampSink
0 FIrNVst Sink
0 Catch Basin
0 Wash Ftn
0 Urinal
0 Standp Rec
0 Ice Maker
No 99987
02/28/2003
Create Date
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
REPLACE BATHROOM LAV
Valuation
Issued By
Storm Water
Size
$400.00 Plan Approval
Material Type
$0.00 Permit Fees
# Conn. Type
$20.00
Date
02/28/2003
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 7301 BAYMEADOWS WAY JACKSONVILLE FL 32256 0000 Telephone Number
OSHKOSH
ON THE WATER
Job Address 1220 MOUNT VERNON ST
Contractor HOMEOWNER
Bathtub 0 Shower
Whirlpool 0 Floor Drain
Lavatory 1 Lndry Tray
Toilet 0 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
Use/Nature
of Work
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner DANIEL J ZIPPERER
Category 410- Residential-Interior
0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0
0 Water Softner 0 Drink Ftn 0 Serv Sink 0
0 LocaIWaste 0 Wait. St. 0 Shamp Sink 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
REPLACE BATHROOM LAV
No 99987
Create Date 02/28/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int GreaseTrap
Ext Grease Trap
0
0
0
0
0
Storm Water
Size
Valuation $400.00 Plan Approval
Issued By
Material
Type # Conn. Type
0
0
$0.00
Permit Fees $20.00
Date 02/28/2003
[] Permit Voided J
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 wo~, I agree to perform~all work pursuant to rules governing the described construction.
Signature~ ~ .
U L.,.~// Agent/Owner
Address 7301 BAYMEADOWS WAY JACKSONVII ~ F FL
Date
32256 0000 Telephone Number