HomeMy WebLinkAbout0063989-Plumbing (lndry stndp) Ci) CITY OF OSHKOSH No 0063989
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 837 MONROE ST Owner SCOTT W BARTELT Create Date 05/19/98
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 1 Clothes Wshr Ice Chest Flr/Wst Sink Int GreaseTrap
Res. Sink 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 Class= Sink Lab Sink Plaster Sink Standp Rec
Roof Drain Breakrm Sink Sterilizer Surgeons Sink Ice Maker
Use/Nature
of Work
INSTALL AUTO CLOTHES WASHER ON 1ST FLOOR
Size Material Type # Conn. Type
Storm Water
Valuation $300.00 Plan Approval $0.00 Permit Fees $10.00
Issued By Date 05/19/98
U 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 performan •f this work, I agree to perform all work pursuant to rules governing the described construction.
Signature 4 . /9 / Date �/' V
Agent/Owner
Address 837 MONROE ST OSHKOSH WI 54901 - 4006 Telephone Number
Plumbing Permit Work Card
Job Address 837 MONROE ST Permit Number 0063989 Create Date 05/19/98
Owner SCOTT W BARTELT Contractor HOMEOWNER
Category 410 - Residential- Interior Plan Value $300.00
•htub Shower Ejector /Grind Dip Well F Prep Sink Gar Drain
_.nirlpool Floor Drain Water Softner Drink Ftn Sery Sink Soda Disp
Lavatory Lndry Tray Local Waste Wait. St. Shamp Sink Coffee Maker
Toilet Lndry Stndp 1 Clothes Wshr Ice Chest Flr/Wst Sink Int Grease Trap
Res. Sink 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 Piaster Sink Standp Rec
Roof Drain Breakrm Sink Sterilizer Surgeons Sink Ice Maker
Use /Nature
of Work
INSTALL AUTO CLOTHES WASHER ON 1ST FLOOR
ze .a : a ype onn. ype
Sanitary Sewer
Storrs Sewer
r 3-72, V,i
.er Service
Date Type Inspector I Approved