HomeMy WebLinkAbout0102346-Plumbing (toilet/laundry tub)OSHKOSH
ON THE WATER
Job Addreee 1330 CENTRAL ST
Contractor M P KELLY
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner NATHAN PETERMAN
Category 410- ResidentiaPlnterior
No 102346
Create Date 06/19/2003
Plan
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 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 LndryTray I LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 1 LndryStndp 0 Clothes Wshr 0 ice Chest 0 FIr/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 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 lee Maker 0
Use/Nature ~SFR/Replace toilet and laundry tub.
of Work
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Valuation $660.00 Plan Approval $0.00 Permit Fees $20.00
Issued By
Date 06/20/2003
[] Permit Voided I
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 665 N MAIN ST OSHKOSH WI 54901 - 4431 Telephone Number 231-1750
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5054
JUN 1 9
DEPAR'T v E T OF
O0 BUNIT¥ D£V£LOP ENT
Plumbing Permit Application
O/HKO/H
I hereby apply for a permit to do and install the followi.ng plumbing on the premises hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are bound by said statutes.
Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever i~ ~eater.
OR
I£¥ou are a contractor participating in the Permit Fee Account System and have adequate [unds, check here
if you want this processed through your account [~
Job Address /.~ ~ Value (Including laborand materials,__ ~.J~0 'aO
[/~[Single Family [-]Duplex I'-]Multi-Family [--]Rental [-]Commercml [-']Industrial
Date ~--~V ~
Number of Fixtures:
Bathtub Lndry Standp Dent. Oper. Shamp Sink
Whirlpool Disposal Dip Well Hr/Wst Sink
lavatory Dishwasher Drink Fm Catch Basin
Toilet / Sump Pump Wait. St. Wash Ftn
Res. Sink Ejector/Grind Ice Chest Urinal
Bar Sink Water Sofiner Exam Sink Ghr Drain
Water Heater Local Waste Seulry Sink Soda Disp
E Gas E Elect [] PwrVnt Clothes Wshr Hand Sink Coffee Maker
Shower Bidet .... F Prep Sink Ice Maker
Floor Drain Beer Tap Serv Sink Site Drain
Lndry Tray / Classrm Sink lnt Grease Trap Roof Drain
lab Sink Surgeons Sink Ext Grease Trap Staodp Rec
Plaster Sink Breakrm Sink
Sterilizer
Electric Contractor
/ Nature of
Sqze
Sanitary Sewer
Storm Sewe~
Water Service
Material Type
ffl~l~lacem~l~t )
Conn. Type
['-]Electric Installation Verificatirn form attached
3/02