HomeMy WebLinkAbout0054932-Plumbing (laterals)
Z CITY OF OSHKOSH No oo54s3z
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
.Job Address" .7034 COZY LN Owner :ART LAUMER Create. Date ':10/07/96
.Contractor .HOMEOWNER Category 401 -Residential-Exterior (laterals) Plan
Bathtub: - Shower Ejector/Grind Dip Well F Prep Sink Gar Drain
Whirlpool _ Floor Drain Water Softner Drink Ftn Serv Sink Soda Disp
Lavatory Lndry Tray Local Waste Wait. St. Shamp Sink Coffee Maker
,Toilet Lndry Stndp Clothes Wshr Ice Chest Flr/V11st Sink lnt GreaseTrap
Res. Sink Disposal Bidet Exam Sink Catch .Basin Ext Grease Trap
----
BarSink Dishwasher BeerTap Sculry Sink Wash Ftn
Water Heater Sump Pump Dent. Oper. Hand Sink Urinal
Site Drain- Classrm Sink Lab Sink Plaster Sink Standp Ree
Roof Drain Breakrm Sink Sterilizer Surgeons Sink Ice Maker
Use/Nature
of Work INSTALL CITY SEW & WTR
' Size Material Type #~ Conn. Type
Storm Water
Valuation , $1,220:00 Permit Fees $20:Q0
Issued. By Date 10/07/96
ermi of e
The undersigned, irrapplying fora plumbing permit to install plumbing in a single family home owned-and occupied as the
principle residence of he 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 MasterPlumber.
In the performance o 's work; I agree to erform all work pursuant to rules governing the described construction.
Signature c_- G~ ~ .~--~ Date /D 7
Agent/Owner
Address 1.034 COZY LN Oshkosh WI 54901 -...0000. Telephone Number 414-233-7644.