HomeMy WebLinkAbout0070900-Plumbing (addn to #69815) Cli) CITY OF OSHKOSH No 0070900
OSHKOSH PLUMBING PERMIT APPLICATION AND RECORD
ON THE WATER
Job Address 454 WINDINGBROOK DR Owner ROBERT TOSIC Create Date 06/17/99
Contractor HOMEOWNER Category 410 Residential- Interior Plan
Bathtub Shower Ejector /Grind Dip Well F Prep Sink Gar Drain
Whirlpool Floor Drain Water Softner Drink Ftn Sery Sink Soda Disp
Lavatory Lndry Tray 1 Local Waste Wait. St. Shamp Sink Coffee Maker
Toilet Lndry Stndp Clothes Wshr Ice Chest FIr/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
XTRA FXTS TO PERMIT 69815
Size Material Type Conn. Type
Storm Water
Valuation $500.00 Plan Approval $0.00 Permit Fees $10.00
Issued By Date 06/17/99
Li 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 1166 APPLE BLOSSOM DR NEENAH WI 54956 0000 Telephone Number 725 -6438
Plumbing Permit Work Card
Job Address 454 WINDINGBROOK DR Permit Number 0070900 Create Date 06/17/99
Owner ROBERT TOSIC Contractor HOMEOWNER
Category 410 Residential- Interior Plan Value $500.00
htub Shower Ejector /Grind Dip Well F Prep Sink Gar Drain
Whirlpool Floor Drain Water Softner Drink Ftn Sery Sink Soda Disp
Lavatory Lndry Tray 1 Local Waste Wait. St. Shamp Sink Coffee Maker
Toilet Lndry Stndp Clothes Wshr Ice Chest Flr/Wst Sink Int Grease Trap
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
XTRA FXTS TO PERMIT 69815
Size Material Type Conn.Type
Sanitary Sewer
Storm Sewer 7 i✓/
....cer Service
Date Type Inspector .J Approved