HomeMy WebLinkAbout0100167-Plumbing (toilet)OSHKOSH
ON THE WATER
.lob Address 15 CANNIFF CT
Contractor RASMUSSEN PLUMBING
Bathtub 0 Shower 0
Whirlpool 0 Floor Drain 0
Lavatory 0 Lndry Tray 0
Toilet 1 Lndry Stndp 0
Res. Sink 0 Disposal 0
Bar Sink 0 Dishwasher 0
Water Heater 0 Sump Pump 0
Site Drain 0 Classrm Sink 0
Roof Drain 0 Breakrm Sink 0
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner STANLEY D SEIBOLD
Category 410 - Residential-Interior
Ejector/Grind 0 DipWell 0 F Prep Sink 0
Water Softner 0 Drink Ftn 0 Serv Sink 0
LocaIWaste 0 Wait. St. 0 Shamp Sink 0
CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
Bidet 0 Exam Sink 0 Catch Basin 0
Beer Tap 0 Sculry Sink 0 Wash Ftn 0
Dent. Oper. 0 Hand Sink 0 Urinal 0
Lab Sink 0 Plaster Sink 0 Standp Rec 0
Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 100167
Create Date 03/12/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature SFR/Replace toilet on the second floor.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$200.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$20.00
Date
03/12/2003
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 1914 GREENBRIAR TRL OSHKOSH WI 54904 - 8887 Telephone Number
920-233-6747
0~/10/2003 13:42 2336747 J RASMUSSEN PAGE 01/01
OshkOsh In~p~.o~ior~ 920-23~.-5084 p. 1
· T i ,
plumbing Permit Appliaation
I h~reby apply for a pcrr~t to rio and (n~aJ] ;:l~/, following ph~mb~ o~ ~he pr~s ]le,~i~ef~r de~c~hed, th~ ~rk to co~o~ t0 the
* App}ication(s) a~d f~(s) ca~ he ~ou~t ~ CiW Hal), Room 205 or mai)ed to Inspection ~e~ces, PO Box I
Oshkosh ~ 54903-112~, Comm~ci~g work withoul pmnit(s> ~1} rcs~tt in fees bcing doubkd or $I00.00 plus
no~l pe~it fec, which ~,cr is
~SIn g'le FzmOy ~Doplex ~ulti-Fa~ly ~RentaI ~Commercia] ~Industrial
~,'~hwnshcr ~, ~l~k F~ C~t~h
"~3~m So~cr F.x~ Sink C;~r
~czl W~ ~d~, Sink S~
Bidc: P Prep Sink ...... lee
C~ ~lfl~ (hr G~'~ Tr~ Ronf Druin
~ur~on~ Sick ~x~ ~=~c T~9 .............. ~aedp R~c
Electric Coatr~ctnr
Use / Nam re of Work
S~nimry
Siz~ Materi~d