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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