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OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No 99984
PLUMBING PERMIT - APPLICATION AND RECORD
Job Address
1725 SANDERS ST
Owner ALLYN J/TAMMY L DANNHOFF
Create Date
02/28/2003
Contractor
HOMEOWNER
Category 410 - Residential-Interior
Plan
Bathtub 0 Shower 1 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
- - - - - -
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
-
Lavatory 1 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
- - - - - -
Toilet 1 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 Flr/Wst Sink 0 Int GreaseTrap 0
-
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
- - - - -
Bar Sink 0 Dishwasher 0 Beer Tap 0 Sculry Sink 0 Wash Ftn 0
-
Water Heater 0 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
Use/Nature SFR/ Bathroom remodel
of Work
Size
Storm Water
Material Type # Conn. Type
0
0
0
0
0
$0.00 Permit Fees $20.00
Valuation
$2,000.00
Plan Approval
Issued By
Date 02/28/2003
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
Date
Address 1725 SANDERS ST
Agent/Owner
OSHKOSH
WI 54902
6757 Telephone Number