HomeMy WebLinkAbout0078924-Plumbing (connect city water)OSHKOSH
ON THE WATER
Job Address 708 KIRKWOOD DR
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Contractor HOMEOWNER
Bathtub Shower
Whirlpool Floor Drain
Lavatory Lndry Tray
Toilet Lndry Stndp
Res. Sink Disposal
Bar Sink Dishwasher
Water Heater Sump Pump
Site Drain Classrm Sink
Roof Drain Breakrm Sink
Use/Nature
of Work
Valuation
Issued By
No 0078924
Create Date 07/17/2000
Plan
Ejector/Grind Dip Well F Prep Sink Gar Drain
Water Softner Drink Ftn Serv Sink Soda Disp
Local Waste Wait. St. Shamp Sink Coffee Maker
Clothes Wshr Ice Chest Flr/Wst Sink Int GreaseTrap __
Bidet Exam Sink Catch Basin Ext Grease Trap
Beer Tap Sculry Sink Wash Ftn
Dent. Oper. Hand Sink Urinal
Lab Sink Plaster Sink Standp Rec
Sterilizer Surgeons Sink Ice Maker
CONNECT TO CITY WATER AND ABANDON WELL
Size Material Type # Conn. Type
Storm Water
$300.00 Plan Approval $0.00 Permit Fees $20.00
Date 07/17/2000
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 perf~nance of this work, I agree to perform all work pursuant to rules governing the described construction
Owner JEFFREY P BARTELT
Category 410 -Residential-Interior
Date 7- / 7~ 00
v U U (/ ~ Agent/Owner
Address 708 KIRKWOOD DR OSHKOSH WI 54904 - 9258 Telephone Number