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0092485-Plumbing (bathtub)
1 � CITY OF OSHKOSH No 92485 OSHKOSf� PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 2022 NEBRASKA ST Owner MARK A/PAME�A A LOBAJESKI Create Date 02/04/2002 Contractor WATTERS PLUMBING Category 410-Residential-Interior Plan Bathtub 1 Shower 0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0 Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0 Lavatory 0 Lndry Tray 0 Local Waste 0 Wait.St. 0 Shamp Sink 0 Coffee Maker 0 Toitet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 Flr/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 0 Sump Pump 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 FR/Install bathtub. of Work � Size Material Type # Conn.Type Sanitary Sewer p 0 0 0 0 Storm Sewer p 0 0 0 0 Water Service p 0 0 0 0 Valuation $1,400.00 Plan Approval $0.00 Permit Fees $20.00 Issued By �� Date 02/04/2002 ❑ Permit Voided' In the performance of this work,�agree to perform all work pursuant to rules governing the described construction. Signature Date AgenVOwner Address 1303 MIDWAY RD,PO BOX 118 MENASHA WI 54952 - 1129 Telephone Number 800-801-8125,733-81 02/01/2002 04:01 920-733-2713 WATTERS PLUMBING PAGE 02/02 . , . . .., .y•.� . . . .. , . . . � . . . . City of Oshkosh � Inspection JServices Division P O,Box 1.130 � Ost�Rosh,W)54903-1130 Phone:(920)236-5050 ���0�' I Fax:(920)236-5084 H ON THE WnTER Plumbin Permit A. licatian I hereby apply for a permir to do and install che following plumbirre orrttrcpremises herein�fter destribcd,lhe work co conform to die Wisconsin State Plumbing Code,in the performance of which a11 parties hereto agree to and are bound by said statutes. Job Address '�Q o10? � �,,.r �,Sf�ralue�YQD_ °° Date �"''�e� �- � Contractor • L �s f M r n �Single Family ❑Duptex OMulti-Family �Rental [ICommercial �Indastrial Nurnber of�'ixfures: F2athiub � Lndry tii�ndp Dcnl.Oper. Shamp$ink Wh�tl�„iuf Dupu��l Dip Wcll FldWstSink I�vati�ry. Uish�cashcr _T pjjpkFip _ Celch$aS+� luilal lump I'urop W�II.Si, Wvsh Ftn itta.Jmk I_jrctw/f:rin�! ia�iic4t Unnal ISar Sink Witcr Sul'tncr Ex�m 5ink Gar Druin W�t�r Il��l�r t.sx�l Wastc Sculry Sink Sod�Dis P 5howcr C'lolhcs Wshr ���� Coficc M�kcr Fluur ihrin li�dct P Yrc 5�nk P• Itt M�kcr LrJrY'frsY 13ur'l;yr y�,yy$Mk Si�c Dnin 1�6 tiink C'I�ssmt Sink Int Grcasc 7r�p Ranl'[hain I'I,s�cr Smk iurg�Ym:Sin1, L•xt Grc�sc Tr:iP St�npp RCC tikriltzcr t�ru�krm�ini. Electric Contractor Use/N�ture of Work Size Macerial Type �t Cenn.Type ' Sanitary Sewer Storm Sewrr ` Water Secvice � Clteck here rf you wurlt this processe�l�hrorrgh your accou,rr �f , Plumbing Permit Work Card Job Address 2022 NEBRASKA ST Permit Number 92485 Create Date 02/04/2002 Owner MARK A/PAMELA A LOBAJESKI Contractor WATTERS PLUMBING `egory 410-Residential-Intenor Plan Value $1,400.00 athtub 1 Shower 0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0 Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0 Lavatory 0 Lndry Tray 0 Local Waste 0 Wait.St. 0 Shamp Sink 0 Coffee Maker 0 ' Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 Flr/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 0 Sump Pump 0 Dent.Oper. 0 Hand Sink 0 Urinai 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 � - ------ -- - SFR/Install bathtub. - -- of Work Size Material Type # Conn.Type Sanitary Sewer 0 ��/ s� � Z.- 0 0 0 0 Storm Sewer p 0 A O 0 + � 0 Water Service p ' 0 0 0 0 Date Type Inspector � Approved j � �