HomeMy WebLinkAbout0058111-Plumbing e l) CITY OF OSHKOSH No 0058111
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2895 MONTCLAIR PL Owner STEVE STOLTENOW Create Date 05/21/97
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 1 Lndry Stndp Clothes Wshr Ice Chest FIr/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 Classrm Sink Lab Sink Plaster Sink Standp Rec
Roof Drain Breakrm Sink Sterilizer Surgeons Sink Ice Maker
Use /Nature
of Work FINISH LL BATHRM
Size Material Type # Conn. Type
Storm Water
Valuation $600.00 Permit Fees $10.00
Issued By Date 05/21/97
.__1 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 cove ed by a permit issued to a properly licensed Master Plumber.
In the performance of this o • , I a • r - • perform -A _ .r io o ruing the described construction.
Signature _�� Date c
i
Agent/Owner
Address 2895 MONTCLAIR PL Oshkosh WI 54901 - 0000 Telephone Number