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HomeMy WebLinkAbout0075563-Plumbing (kitchen sink) (ID CITY OF OSHKOSH No 0075563 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 638 W 20TH AVE Owner CINDY JORDAN Create Date 02/22/2000 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 Local Waste Wait. St. Shamp Sink Coffee Maker Toilet Lndry Stndp Clothes Wshr Ice Chest Flr/Wst Sink Int GreaseTrap Res. Sink 1 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 REMOVE /RE- INSTALL EXISTING KITCHEN SINK FOR REPLACEMENT OF CABINETS & COUNTER TOPS == =SINK WILL GO BACK IN SAME LOCATION Size Material Type # Conn. Type Storm Water Valuation $100.00 Plan Approval $0.00 Permit Fees $10.00 Issued By Date 02/22/2000 0 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 covered by a permit is - • to a properly licensed Master Plumber. In the performance tl s work, I a e to p- - orm all 00 ppuu to rules goveming the described construction. Signature y y� l/Cf fiL � �i J Dat: � ' 1 .- ] Agent/Owner Address 638 W 20TH AV - OSHKOSH WI 54901 - 6870 Telephone Number