HomeMy WebLinkAbout2002-Plumbing/~'~ CITY OF OSHKOSH No 93839
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
Owner MR/MRS EUGENE F FEDIE
Category 410 -Residential-Interior
Create Date 04/25/2002
Plan
1 Shower 0 Ejector/Grind 0 Dip Well O F Prep Sink 0 Gar Drain 0
0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
1 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
1 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 Flr/IIVst Sink 0 Int GreaseTrap 0
1 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
0 Dishwasher 1 Beer Tap 0 Sculry Sink 0 Wash Ftn 0
0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0
0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
REMODEL KITCHEN & 1ST FLOOR BATHROOM
Size Material Type # Conn. Type
Storm Water 0
0
0
0
0
Valuation $6,200.00 Plan Approval $0.00 Permit Fees $30.00
Issued By
Permit Voided
Date 04/25/2002
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 performs this work, I agree top-e-rf~ofrm all work pursuant to rules governing the described construction.
Sianatuw-__~. _ _ ._ _ ~f- ~ _~ . _ D t ~ 2 S
Address 1509 MAPLE AVE
AgenUOwner
OSHKOSH
ae 11
WI 54802 2626 Telephone Number 426-5448