Loading...
HomeMy WebLinkAbout2002-Plumbing (water heater)/~"~ CITY OF OSHKOSH No 98275 OSHKOSH ON THE WATER Job Address 1509 MAPLE AVE Contractor HOMEOWNER Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Use/Nature of Work PLUMBING PERMIT -APPLICATION AND RECORD 0 Ejector/Grind 0 Water Softner 0 Local Waste 0 Clothes Wshr 0 Bidet 0 Beer Tap 0 Dent.Oper. 0 Lab Sink ~ Sterilizer Owner MR/MRS EUGENE F FEDIE Category 411 -Residential-Water Heaters 0 Dip Well 0 F Prep Sink 0 Drink Ftn 0 Serv Sink 0 Wait. St. 0 Shamp Sink 0 Ice Chest 0 Flr/Wst Sink 0 Exam Sink 0 Catch Basin 0 Sculry Sink 0 Wash Ftn 0 Hand Sink 0 Urinal 0 Plaster Sink 0 Standp Rec 0 Surgeons Sink 0 Ice Maker Create Date 10/30/2002 Plan 0 Gar Drain 0 0 Soda Disp 0 0 Coffee Maker 0 0 Int GreaseTrap 0 0 Ext Grease Trap 0 0 0 0 0 0 Shower 0 Floor Drain 0 Lndry Tray 0 Lndry Stndp 0 Disposal 0 Dishwasher 1 Sump Pump 0 Classrm Sink 0 Breakrm Sink REPLACE WTR HTR Size Material Type # Conn. Type Storm Water 0 0 0 0 0 Valuation $400.00 Plan Approval $0.00 Permit Fees $20.00 Issued By Permit Voided Date 10/30/2002 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 performan of s work, I agree to perto all work pursuant to rules governing the described construction. Si C>^ Date D ,~U ©'Z- Agent/Owner Address 1509 MAPLE OSHKOSH WI 54902 2626 Telephone Number 426-5448