HomeMy WebLinkAbout0102018 POSHKOSH
ON THE WATER
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Job Address 1450 PHEASANT CREEK DR Owner ROBERT/ANNETTE RABE
Contractor HOMEOWNER Category 410- Residential-Interior
Bathtub 0 Shower 1 Ejector/Grind 0 DipWell 0 F Prep Sink
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink
Lavatory 1 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink
Toilet 1 Lndry Stndp 0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin
Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn
Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker
No 102018
06/06/2003
Create Date
Plan
0 Gar Drain
0 Soda Disp
0 Coffee Maker
0 Int GreaseTrap
0 Ext Grease Trap
0
0
0
0
Use/Nature SFR/New bathroom in lower level - Underground was roughed in with house construction.
of Work
Valuation
Issued By
Storm Water
Size Material Type
$1,000.00 Plan Approval $0.00 Permit Fees
# Conn. Type
$20.00
Date
06/06/2003
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 1450 PHEASANT CREEK DR OSHKOSH WI 54904 7452 Telephone Number
CITY OF OSHKOSH
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1450 PHEASANT CREEK DR Owner ROBERT/ANNETTE RABE
Contractor HOMEOWNER Category 410- Residential-Interior
Bathtub ___~0 Shower 1 Ejector/Grind 0 Dip Well 0 F Prep Sink
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink
Lavatory I LndryTray 0 LocaIWaste 0 Wait. St~ 0 Shamp Sink
Toilet 1 LndryStndp 0 CIothesWshr 0 Ice Chest 0 FIr/~Nst Sink
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin
Bar Sink 0 Dishwasher 0 Beer Tap 0 Sculry Sink 0 Wash Ftn
Water Heater . 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker
No 102018
Create Date 06/06/2:003
Plan
0 Gar Drain 0
0 Soda Disp 0
0 Coffee Maker 0
0 Int GreaseTrap 0
0 Ext Grease Trap 0
0
0
0
0
Use/Nature SFPJ New 5athroom in lower level - Underground was roughed in with house construct[on.
of Work
Valuation
Issued By
Size Material Type # Conn. Type
Storm Water 0
~$1'000'00 ~lan Approval
$0.00 Permit Fees $20.00
[] Permit Voided~
Date 06/06/2003
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 t45.06, 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 properl}, licensed Master Plumber.
In the performance of this work, ~ agree to perform all work pursuant to rules governing the described construction.
Signature '~'-~-~ -- ,,,~
AgentJOwner
Address 'i450 PHEASANT CREEK DR OSHKOSH
W~I 54904 7452 Telephone Number