HomeMy WebLinkAbout0101525-PlumbingOSHKOSH
ON THE WATER
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
No 101525
Job Address 1602 N MAIN ST Owner KARL/PATRICIA KOELSCH Create Date
Contractor HOMEOWNER Category 410- Residential-Interior Plan
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp
Lavatory 0 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker
Toilet 0 Lndry Stndp 0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int GreaseTrap
Res. Sink 1 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap
Bar Sink 0 Dishwasher 1 Beer Tap 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
05/16/2003
Use/Nature
of Work
REMODEL KITCHEN
Valuation
Issued By
Storm Water
$800.00
Size Material Type
Plan Approval $0.00
Permit Fees
# Conn. Type
$20.00
Date
05/16/2003
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 this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 1602 N MAIN ST OSHKOSH WI 54901 2916 Telephone Number 233-0807
CITY OF OSHKOSH
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1602 N MAIN ST Owner KARL/PATRIClA KOELSCH Create Date 05/16/2003
Contractor HOMEOWNER Category 410 - Residential-Interior Plan
No 101525
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp
Lavatory 0 LndryTray 0 LocaIWaste 0 Wait. St. 0 ShampSink 0 Coffee Maker
Toilet 0 LndryStndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0 Int GreaseTrap
Res. Sink I Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext GreaseTrap __
Bar Sink 0 Dishwasher 1 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
Use/Nature
of Work
REMODEL KITCHEN
Storm Water
Size Material Type # Conn. Type
Valuation $800.00 Plan Approval $0.00 Permit Fees $20,00
Issued By Date
05/16/2003
[] 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 this work, I agree to perform all work pursuant to rules governing the described construction.
Signature ~~ ~c~..~_ Date
Agent/Owner
Address 1602 N MAIN ST OSHKOSH
WI 54901 2916 Telephone Number
233-0807