HomeMy WebLinkAbout0100547-Plumbing (bathtub)OSHKOSH
ON THE WATER
,Job Address 831 WAUGOO AVE
Contractor GLAZE PLUMBING
Bathtub 1 Shower 0
Whirlpool 0 Floor Drain 0
Lavatory 0 Lndry Tray 0
Toilet 0 Lndry Stndp 0
Res. Sink 0 Disposal 0
Bar Sink 0 Dishwasher 0
Water Heater 0 Sump Pump 0
Site Drain 0 Classrm Sink 0
Roof Drain 0 Breakrm Sink 0
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner BRIAN L/VICKI BEVERSDORF
Category 410 - Residential-Interior
Ejector/Grind 0 DipWell 0 F Prep Sink 0
Water Softner 0 Drink Ftn 0 Serv Sink 0
LocaIWaste 0 Wait. St. 0 Shamp Sink 0
CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
Bidet 0 Exam Sink 0 Catch Basin 0
Beer Tap 0 Sculry Sink 0 Wash Ftn 0
Dent. Oper. 0 Hand Sink 0 Urinal 0
Lab Sink 0 Plaster Sink 0 Standp Rec 0
Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 100547
Create Date 04/01/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature DUPLEX/Replace bathtub (lower unit).
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$1,200.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$20.00
Date
04/01/2003
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 1865 JAMES RD OSHKOSH WI 54904 - 6873 Telephone Number
589-4014
APR 0 1
Appliiatfio~(s) ami tim(s) tam b~ brcraght to City Hall, Room ~05 or nmilvd to Inz~tic
Oshkosh Wl 54903-1ELS, CommenO~g work without p¢rmit(s) will result in f~t b~
nm'mai permit fcc, which eyre' i8
l£.yo~ ar~_a e~ntraet~ v~tictr;at~;~ 1~ the Permit Fee Ae¢ounl Sy~_rem
Job Adiress=~i~i .... _{J~_~l¢~ .... Value
Tyl~e # C~ar~ TyI~
!hiT
are. lmtmd by said statute.
a .%~i,a:$, PO Box 111,8,
tg doubled or $100.00 plus the
adeo~te t~#ds, cl~ckd~erg
lcc Meker
Verifleafl~ll fOrlll ~,tt~hed