HomeMy WebLinkAbout0102531-Plumbing (water softner)OSHKOSH
ON THE WATER
,Job Address 4005 SHARRATT DR
Contractor CULLIGAN
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner RAND W/SYLVIA SEIBOLD
Category 410 - Residential-Interior
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 0 Floor Drain 0 Water Softner 1 Drink Ftn 0 Serv Sink 0
Lavatory 0 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0
Toilet 0 Lndry Stndp 0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0
Bar Sink 0 Dishwasher 0 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
No 102531
Create Date 06/30/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature SFR/Installwater softener.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$450.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$20.00
Date
06/30/2003
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
N FOND DU LAC WI 54937 - 1498 Telephone Number
Address 405 PROSPECT AVE 235-1490
City of Oshkosh
Inspection Services Dlvisim~
P O Box 1130
Oshkosh, WI S4903-1130
Phone: (920) 236-$§$0
Fa~; (9~-0) 236-S054
Plumbing Permit Application
1 hereby apply for a permit to do and install the following plumbing on the premises hereinaiter described, ~b¢ work to con£otm to the
Wisconsin State Plumbing Code, ia tile performance o£which all parties hereto agree to sad are bound by said statutes
Ow.er. __~'~ ; F,-~l~'.~,/h'/~'. . --'-.,-/,-- _ Co.tr~ete (".,~)];an.~f~~ ~. )~, ~d~f,,_ _ . .
[~,nglc Family [--]Duplex ~Multi-Family ~Rental ~Comme~al ~lndustr,al
Number of Fixtures:
Bathtub .... L~d~y S~ufldp Dent. Ope. r, Shamp Sillk
Electric Contractor
Use / Nature of Work
Sanitary Sewer
Size Material Typ~ # Conn. Tyge
Water Service
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