HomeMy WebLinkAbout0101163-PlumbingOSHKOSH
ON THE WATER
,Job Address 1245 HERITAGE TRL
Contractor HOMEOWNER
Bathtub 0 Shower
Whirlpool 0 Floor Drain
Lavatory 0 Lndry Tray
Toilet 0 Lndry Stndp
Res, Sink 1 Disposal
Bar Sink 0 Dishwasher
Water Heater 0 Sump Pump
Site Drain 0 Classrm Sink
Roof Drain 0 Breakrm Sink
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner MICHAEL/KRISTI DOMER
Category 410 - Residential-Interior
0 Ejector/Grind 0 DipWell 0 F Prep Sink 0
0 Water Softner 0 Drink Ftn 0 ServSink 0
0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0
0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0
1 Bidet 0 Exam Sink 0 Catch Basin 0
I Beer Tap 0 SculrySink 0 Wash Ftn 0
0 Dent. Oper. 0 Hand Sink 0 Urinal 0
0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
0 Sterilizer 0 Surgeons Sink 0 Ice Maker 1
No 101163
Create Date 05/01/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int GreaseTrap
Ext Grease Trap
Use/Nature
of Work
SFR/
Remodeling the kitchen, new cabinets and counter tops.
No drywall will be removed.
Valuation
Issued By
Size Material Type # Conn. Type
Storm Water 0
$1,200.00 Plan Approval $0.00 Permit Fees $24.00
Date 05/01/2003
[] 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.t~is wor~, I/~gr~e to perform all work pursuant to rules governing the described construction.
Signature
// ' '' / ' ~ Agent/Owner
Address 1245 HERITAGE TRL OSHKOSH WI 54904 8153
Date -~'/-~ ~
Telephone Number