HomeMy WebLinkAbout0057624-Plumbing e l) CITY OF OSHKOSH No 0057624
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2931 MONTCLAIR PL Owner MIKE WUSSOW Create Date 04/22/97
Contractor HOMEOWNER Category 410 - Residential- Interior Plan
Bathtub Shower 1 Ejector /Grind Dip Well F Prep Sink Gar Drain
Whirlpool 1 Floor Drain Water Softner Drink Ftn Sery Sink Soda Disp
Lavatory 2 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 $1,000.00 Permit Fees $20.00
Issued By Date 04/22/97
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 t is rk, I agree to perform all work pursuant to rules governing the described construction.
Signature ffi V , Date [ j -,� „ - �j
Agent/Owner 7
Address 2931 MONTCLAIR PL Oshkosh WI 54904 - 0000 Telephone Number
Plumbing Permit Work Card
Job Address 2931 MONTCLAIR PL Permit Number 0057624 Create Date 04/22/97
Owner MIKE WUSSOW Contractor HOMEOWNER
Category 410 - Residential- Interior Plan Value $1,000.00
htub Shower 1 Ejector /Grind Dip Well F Prep Sink Gar Drain
Whirlpool 1 Floor Drain Water Softner Drink Ftn Sery Sink Soda Disp
Lavatory 2 Lndry Tray Local Waste Wait. St. Shamp Sink Coffee Maker
Toilet 1 Lndry Stndp Clothes Wshr Ice Chest FIr/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 Plaster Sink Standp Rec
Roof Drain Breakrm Sink Serilizer Surgeons Sink Ice Maker
Use /Nature
of Work FINISH LL BATHRM
Size Material Type # Conn.Type
Sanitary Sewer
/ 2/2 4 / f7
Storm Sewer
....ter Service
Date Type Inspector Approved