HomeMy WebLinkAbout0100771-PlumbingOSHKOSH
ON THE WATER
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
No 100771
Job Address 1115 LAAGER LN Owner JESSE/CHRISTINE GEFFERS Create Date 04/11/2003
Contractor HOMEOWNER Category 410- Residential-Interior Plan
Bathtub 0 Shower 1 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp
Lavatory 1 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker
Toilet 1 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0 Int GreaseTrap
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap __
Bar Sink 0 Dishwasher 0 BeerTap 0 SculrySink 0 Wash Ftn 0
Water Heater I Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use/Nature
of Work
FINISH BASEMENT BATH & REPLACE WTR HTR
Valuation
Issued By
Storm Water
Size Material Type # Conn. Type
0
0
0
0
0
$2,000.00 Plan Approval $0.00 Permit Fees $24.00
Date 04/11/2003
[] 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 perforn~ all work pursuant to rules governing the described construction.
Signature ~/?/~,/~~-'~ ~/~~_.. Date
Address 1115 LAAGER LN OSHKOSH WI 54902 6695 Telephone Number
Plumbing Permit Work Card
Job Address 1115 LAAGER LN Permit Number 100771 Create Date 04/11/2003
Owner JESSE/CHRISTINE GEFFERS Contractor HOMEOWNER
`egory 410 - Residential - Interior Plan Value $2,000.00
...athtub 0 Shower / 1 Ejector /Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Sery Sink 0 Soda Disp 0
Lavatory / 1 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet / 1 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 Sculry Sink 0 Wash Ftn 0
Water Heater / 1 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use /Nature
of Work
FINISH BASEMENT BATH & REPLACE WTR HTR
Size Material Type # Conn.Type
Sanitary Sewer 0 0 :—
�
0 L'
0
0 -.`
Storm Sewer 0
o F 6/
0
0
0
Water Service 0
0
0
0
0
Date Type Inspector
Date/Time requested: Notice Type: Telephone Number:
Access:
Ready Date/Time: Requested By:
0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid