HomeMy WebLinkAbout0075557-Plumbing /�'� CITY OF OSHKOSH No 00�555�
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 349 W 7TH AVE Owner RITA H LAUER Create Date 02/21/2000
Contractor HOMEOWNER Category 410-Residential-Interior Plan
Bathtub Shower EjectodGrind Dip Well F Prep Sink Gar Drain
Whiripool Floor Drain Water Softner Drink Ftn Serv Sink Soda Disp
Lavatory Lndry Tray Local Waste Wait.St. Shamp Sink Coffee Maker
Toilet Lndry Stndp 1 Clothes Wshr Ice Chest FINWst 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
CONVERT 1ST FLOOR BEDROOM INTO LAUNDRYROOM
Size Material Type # Conn.Type
Storm Water
Valuation $500.00 Plan Approval $0.00 Permit Fees $10.00
Issued By Date 02/21/2000
� Permit Voided ''
The undersigned,in applying for a plumbing permit to instail 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 o this work, I agree to perfor II work pursuant to rules governing the described construction.
Signature Date �--z��[�
AgenUOwner
Address 349 W 7TH AVE OSHKOSH WI 54901 - 5919 Telephone Number