HomeMy WebLinkAbout0080108-Plumbing 0 CITY OF OSHKOSH No 0080108
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1220 MONROE ST Owner RALPH E ALFONSO /B L SALOMON Create Date 08/17/2000
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 1 Lndry Tray Local Waste Wait. St. Shamp Sink Coffee Maker
Toilet Lndry Stndp Clothes Wshr Ice Chest FIrM/st 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 Class= Sink Lab Sink Plaster Sink Standp Rec
Roof Drain Breakrm Sink Sterilizer Surgeons Sink Ice Maker
Use /Nature
of Work
REMODEL KITCHEN & BATH
Size Material Type # Conn. Type
Storm Water
Valuation $1,000.00 Plan Approval $0.00 Permit Fees $20.00
Issued By Date 08/17/2000
❑ 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, 1 agree to perform all work pursuant to rules goveming the described construction.
Signature 1)eyrt c._ 4: lig-pi/La Date 8 - / 7 150
Agent/Owner
Address 1220 MONROE ST OSHKOSH WI 54901 - 3934 Telephone Number Q 0_ /oP
Plumbing Permit Work Card
Job Address 1220 MONROE ST Permit Number 0080108 Create Date 08/17/2000
Owner RALPH E ALFONSO /B L SALOMON Contractor HOMEOWNER
"'tegory 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 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 & BATH
Size Material Type # Conn.Type
Sanitary Sewer
Q i e/(?? -/'° e
Storm Sewer S r Z .I
Water Service
Date 00 /00 /0000 Type Inspector Approved