HomeMy WebLinkAbout0076498-Plumbing (remove sump discharge) � CITY OF OSHKOSH No oo�sasa
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1114 E NEW YORK AVE Owner WILLIAM G SITTER/D M ROUSSEAU Create Date 04/73/2000
Contractor HOMEOWNER Category 410-Residential-Interior Plan
Bathtub Shower Ejector/Grind 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 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 SEE PLBG CORR NOTICE===REMOVE EXISTING CLEAR WATER SUMP DISCHARGE CONNECTION WITH SANiTARY SEWER
Size Material Type # Conn.Type
Storm Water
Valuation $100.00 Plan Approval $0.00 Permit Fees $10.00
Issued By Date 04/14/2000
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� Permit Voided I
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 i olved must be cove ed by a permit issued to a properly licensed Master Plumber.
In the perf rm ce of this work, ee to perform all work pursuant to rules goveming the described construction.
Signatur Date �1� U v
AgenUOwner
Address 1114 E NEW YORK AVE OSHKOSH WI 54901 - 4031 Telephone Number
�, Plumbing Permit Work Card
Job Address 1114 E NEW YORK AVE Permit Number -A9�0�—����� Create Date 04/13/2000
Owner WILLIAM G SITTER/D M ROUSSEAU Contractor HOMEOWNER
�ategory 410-Residential-Interior Plan Value $100.00
htub Shower EjectoNGrind Dip Weli F Prep Sink Gar Drain
Whirlpool Floor Drain Water Softner Drink Ftn Serv Sink Soda Disp
Lavatory Lndry Tray Local Waste Wait.St. Shamp Sink Coffee Maker
Toilet Lndry Stndp Clothes Wshr Ice Chest FINWst 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 Sterilizer Surgeons Sink Ice Maker
Use/Nature
of Work SEE PLBG CORR NOTICE===REMOVE EXISTING CLEAR WATER SUMP DISCHARGE CONNECTION WITH SANITARY SEWER
Size Material Type # Conn.Type
Sanitary Sewer �
� �7 o a
Storm Sewer
ter Service
Date 00/00/0000 Type Inspector Approved
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