HomeMy WebLinkAbout0063234-Plumbing CD CITY OF OSHKOSH No 0063234
OSHKOSH PLUMBING PERMIT APPLICATION AND RECORD
ON THE WATER
Job Address 1300 WHEATFIELD WAY Owner TIMOTHY O /ANN M MATAKAS Create Date 04/09/98
Contractor HOMEOWNER Category 410 Residential- Interior Plan
Bathtub Shower 1 Ejector /Grind Dip Well F Prep Sink Gar Drain
Whirlpool Floor Drain Water Softner Drink Ftn Sery Sink Soda Disp
Lavatory 1 Lndry Tray Local Waste Wait. St. Shamp Sink Coffee Maker
Toilet 1 Lndry Stndp Clothes Wshr Ice Chest Flr/Wst Sink Int GreaseTrap
Res. Sink Disposal Bidet Exam Sink Catch Basin Ext Grease Trap
Bar Sink Dishwasher Beer Tap Sculry Sink Wash Ftn
Water Heater Sump Pump Dent. Oper. Hand Sink Urinal
Site Drain Classrm Sink Lab Sink Plaster Sink Standp Rec
Roof Drain Breakrm Sink Sterilizer Surgeons Sink Ice Maker
Use /Nature
of Work
FINISH LOWER LEVEL BATH
Size Material Type Conn. Type
Storm Water
Valuation $1,000.00 Plan Approval $0.00 Permit Fees $12.00
Issued By Date 04/09/98
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 ssist with the work described by this permit. If an individual will be employed to install plumbing
the work involved mu be covered by a permit issued to a properly licensed Master Plumber.
In the performance this w I ee to perform al o pursuant to rules governing the described construction. gg
Signature( �i!oe- Date V /Y
Agent/Owner
Address 1300 WHEATFIELD WAY OSHKOSH WI 54904 0000 Telephone Number