HomeMy WebLinkAbout0089188-Plumbing 0 CITY OF OSHKOSH No 89188
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1406 MONROE ST Owner PAUL D SCHWALTZ Create Date 07/10/2001
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 Clothes Wshr Ice Chest Flr/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 SFR / INSTALL DISHWASHER
of Work * *WIRING DONE BY DREXLER ELECTRIC PERMIT # 87377 **
Size Material Type # Conn. Type
Storm Water
Valuation $200.00 Plan Approval $0.00 Permit Fees $20.00
Issued By u - (At/A t , lath, ^ ,� Date 09/14/2001
V J" ❑ 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 Date
Agent/Owner
Address 174 E 9TH ST FONDDULAC WI 54935- 0000 Telephone Number