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HomeMy WebLinkAbout0057772-Plumbing CITY OF OSHKOSH No 0057772 1 0 . OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1847 SIMPSON ST Owner ROBERT J /SANDRA MELLER Create Date 05/01/97 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 1 Lndry Tray Local Waste Wait. St. Shamp Sink Coffee Maker Toilet Lndry Stndp Clothes Wshr Ice Chest FIr/Wst Sink Int GreaseTrap Res. Sink 1 Disposal Bidet Exam Sink Catch Basin Ext Grease Trap Bar Sink Dishwasher 1 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 REMODEL KITCHEN & REPLACE BATHROOM LAVATORY Size Material Type # Conn. Type Storm Water Valuation $1,000.00 Permit Fees $12.00 Issued By Date 05/01/97 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_gf t • work, agre o perfo all pursuant to rules governing the described construction. Signature / 1 ' Date ' c/// / 7 Agent/Owner Address 1847 SIMPSON S OSHKOSH WI 54901 - 6842 Telephone Number Plumbing Permit Work Card Job Address 1847 SIMPSON ST Permit Number 0057772 Create Date 05/01/97 Owner ROBERT J /SANDRA MELLER Contractor HOMEOWNER Category 410 - Residential- Interior Plan Value $1,000.00 htub Shower 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 Lndry Stndp Clothes Wshr Ice Chest FIr/Wst Sink Int Grease Trap Res. Sink / 1 Disposal / Bidet Exam Sink Catch Basin Ext Grease Trap Bar Sink Dishwasher j 1 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 Serilizer Surgeons Sink Ice Maker Use /Nature of Work REMODEL KITCHEN & REPLACE BATHROOM LAVATORY ;-3.2.-- P- 0 60 Size Material Type # Conn.Type Sanitary Sewer &t 67-2/1 x 4 Foto,/ , 077,-(1 tik . 1 j Storm Sewer�7 / , ,C• 171.) � S -t4iGr'z� / ...........:? I/ l ....cer Service F 6 / 2 79 7 Date Type Inspector L Approved