HomeMy WebLinkAbout0101159-PlumbingOSHKOSH
ON THE WATER
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
JobAddress 1744 OHIO ST Owner HERBERT/KAREN HAZEN
Contractor HOMEOWNER Category 401 - Residential-Exterior (laterals)
Bathtub 0 Shower 1 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 0 Floor Drain 0 WaterSoftner 0 Drink Ftn 0 Serv Sink 0
Lavatory I LndryTray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0
Toilet 1 LndryStndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0
Bar Sink 0 Dishwasher 0 BeerTap 0 SculrySink 0 Wash Ftn 0
Water Heater 0 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
No 101159
Create Date 04/02/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int GreaseTrap
Ext Grease Trap
0
0
0
0
0
Use/Nature
of Work
REMODEL 1ST FLOOR BATHROOM
Valuation
Issued By
Storm Water
Size Material Type # Conn. Type
$1,500.00 Plan Approval $0.00 Permit Fees $20.00
Date 05/01/2003
[] Permit Voided J
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,c,e~ered by a permit issued to a properl}, licensed Master Plumber.
In the performan~e/thi~o~, I ~gre~o perform all work pursuant to rules governing the described ~nst~ction.
~en~Owner
~ddro~s ~744 OHIO ST OSHKOSH
WI 54902 6754 Telephone Number