HomeMy WebLinkAbout0095382-Plumbing (bathroom remodel) I0 CITY OF OSHKOSH No 95382
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 824 MONROE ST Owner RAYMOND C /BARBA RENNERT JR Create Date 06/24/2002
Contractor HOMEOWNER Category 410 - Residential- Interior Plan
Bathtub 1 Shower 0 Ejector /Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Sery Sink 0 Soda Disp 0 ,
Lavatory 1 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 1 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 Flr/Wst Sink 0 Int GreaseTrap 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 Sculry Sink 0 Wash Ftn 0
Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use /Nature
of Work
REMODEL 2ND FLOOR BATHROOM
Size Material Type # Conn. Type
Storm Water 0
0
0
0
0
Valuation $1,000.00 Plan Approval $0.00 Permit Fees $20.00
Issued By Date 06/24/2002
El 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 /h, 21f 97/M M 7'7,7.1 "? i'" Date
Agent/Owner
Address 824 MONROE ST OSHKOSH WI 54901 4007 Telephone Number