HomeMy WebLinkAboutPlumbing(~ CITY OF OSHKOSH
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1670 RIVER MILL RD Owner MATTHEW/MONICA GOLDIN
Contractor HOMEOWNER Category 410- Residential-Interior
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F PrepSink
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 ServSink
Lavatory 0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink __
Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink __
Res. Sink 1 Disposal 1 Bidet 0 Exam Sink 0 Catch Basin
Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn
Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker
No 100352
Create Date 03/24/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int GreaseTrap
Ext Grease Trap
Use/Nature
of Work
REMODEL KITCHEN
Valuation
Issued By
Storm Water
Size Material Type # Conn. Type
0
0
0
0
0
$1,500.00 Plan Approval $0.00 Permit Fees $20.00
Date
03/24/2003
[] Permit Voided I
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 performanc~e~s work, I agree to perform all work pursuant to rules governing the described construction.
Agent/Owner /
Address 1670 RIVER MILL RD OSHKOSH
WI 54901 2792 Telephone Number