HomeMy WebLinkAbout0100139-PlumbingOSHKOSH
ON THE WATER
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
No 100139
Job Address 412 W 11TH AVE Owner WILLIAM/CASSAND FRITZ Create Date
Contractor HOMEOWNER Category 410- Residential-Interior Plan
Bathtub 1 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp
Lavatory 1 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker
Toilet 1 Lndry Stndp 0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int GreaseTrap
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap
Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn 0
Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
03/11/2003
Use/Nature
of Work
ADD 2ND FLOOR BATH
Valuation
Issued By
Storm Water
$1,500.00
Size Material Type
Plan Approval $0.00
Permit Fees
# Conn. Type
$20.00
Date
03/11/2003
Permit Voided
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 agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 412W 11TH AVE OSHKOSH WI 54902 6414 Telephone Number 920-236-8799
OSHKOSH
ON THE WATER
Job Address 412 W 11TH AVE
Contractor HOMEOWNER
Bathtub 1 Shower
Whirlpool 0 Floor Drain
Lavatory 1 Lndry Tray
Toilet 1 Lndry Stndp
Res. Sink 0 Disposal
Bar Sink 0 Dishwasher
Water Heater 0 Sump Pump
Site Drain 0 Classrm Sink
Roof Drain 0 Breakrm Sink
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner WILLIAM/CASSAND FRITZ
Category 410 - Residential-Interior
0 Ejector/Grind 0 DipWell 0 F Prep Sink 0
0 Water Softner 0 Drink Ftn 0 ServSink 0
0 Local Waste 0 Wait. St. 0 ShampSink 0
0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0
0 Bidet 0 Exam Sink 0 Catch Basin 0
0 Beer Tap 0 SculrySink 0 Wash Ftn 0
0 Dent. Oper. 0 Hand Sink 0 Urinal 0
0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 100139
Create Date 03/11/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int GreaseTrap
Ext Grease Trap
0
0
0
0
0
Use/Nature
of Work
ADD 2ND FLOOR BATH
Storm Water
Size
Material Type # Conn. Type
Valuation $1,500.00 Plan Approval $0.00 Permit Fees $20.00
Issued By
Date
03/11/2003
[] Permit VoidedI
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 o.f~th~ vyork, I agree to perform all work pursuant to rules governing the described construction.
Signature f¢~//~/('~-~~--'~ ~?~,~ ......... Date
Agent/Owner
Address 412 W 11TH AVE OSHKOSH WI 54902 6414 Telephone Number
920-236-8799