HomeMy WebLinkAbout0064769-Plumbing (xtra fxts)OSH OSH
ON THE WATER
Job Address 565 GOLDEN IRIS DR
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner DUWAYNE JACOBSON
Category 410 -Residential-Interior
Contractor JIM'S PLUMBING
Bathtub 1 Shower
Whirlpool Floor Drain
Lavatory 1 Lndry Tray
Toilet 1 Lndry Stndp
Res. Sink Disposal
Bar Sink Dishwasher
Water Heater Sump Pump
Slte Drain Classrm Sink
Roof Drain Breaknn Sink
Use/Nature
of Work
XTRA FIXTS TO PERMIT 57547 (BASEMENT RI'S)
Ejector/Grind Dip Well F Prep Sink
Water Softner Drink Ftn Serv Sink
Local Waste Walt. St. Shamp Sink
Clothes Wshr Ice Cheat FIr/Wst Sink
Bidet Exam Sink Catch Basin
Beer Tap Sculry Sink Wash Ftn
Dent. Oper. Hand Sink Urinal
Lab Sink Plaster Sink Standp Rec
Sterilizer Surgeons Sink Ice Maker
No 0064769
Create Date 06/04/98
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Sanitary Sewer
Storm Sewer
Water Service
Valuation
Issued By
$250.00
roan Hpprova~ $0.00 Permit Fees $12.00
~Permi of e
Date 06/25/98
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address W-6166 GREENVILLE DRIVE GREENVILLE WI 54942 - 0 Telephone Number 757-5258 OR 757-6