HomeMy WebLinkAbout0083034-Plumbing (code violations)OSHKOSH
ON THE WATER
Job Address 1215 GLEN AVE
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 Breaknn Sink
Use/Nature
of Work
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/V11st 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
Size Material Type # Conn. Type
Storm Water
Valuation $50.00 Plan Approval $0.00 Permit Fees $20.00
Issued By Date 11/21/2000
ermi of e
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 agre t pe orm all work pursuant to rules governing the described construction. J
Signature w Date / ~-' ~~ -~
Agent/Owner
Address 1215 GLEN AVE OSHKOSH WI 54901 - 5628 Telephone Number
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Owner MARK F STEWART
Category 410 -Residential-Interior
No 0083034
Create Date 11/17/2000
Plan