HomeMy WebLinkAbout0103133 POSHKOSH
ON THE WATER
,Job Address 480 AVIATION RD
Contractor KOCH PLUMBING
Bathtub 0 Shower 0
Whirlpool 0 Floor Drain 0
Lavatory 1 Lndry Tray 0
Toilet 1 Lndry Stndp 0
Res. Sink 0 Disposal 0
Bar Sink 0 Dishwasher 0
Water Heater 1 Sump Pump 0
Site Drain 0 Classrm Sink 0
Roof Drain 0 Breakrm Sink 0
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner WINNEBAGO COUNTY
Category 440- Industrial-Interior
No 103133
Create Date 07/24/2003
Plan FILE-41-0703-P
Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain 0
Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
Bidet 0 Exam Sink 0 Catch Basin 1 Ext Grease Trap 0
Beer Tap 0 Sculry Sink 0 Wash Ftn 0 RPZ Valve 0
Dent. Oper. 0 Hand Sink 0 Urinal 0 EyeWash Statn 0
Lab Sink 0 Plaster Sink 0 Standp Rec 0
Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use/Nature
of Work AIRPLANE HANGER PLUMBING FOR JAY T MEIDL
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$8,400.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$24.00
Date 07/28/2003
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
Address 2005 DOTY ST OSHKOSH WI 54901 - 0000 Telephone Number
BUTCH (C)379-8753
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City of Od~kash
Inspection Services Division
Phone; (920)
Vax: {920)
O. ZHKO/H
Plumbing Permit ApPlicatiOn,.
I hereby apply for a pcm~it 1o do and install thc following plumbing on U~e premises hcrcinaf~¢c described, thc work to conform to the
Wiscon.sil} Slale Plumbing ,Code, in thc pcrfocaxancc of which all panics hereto agree to and a~e bound by said statutes.
[~Sin gl¢ F'amily n~Duplex E~Multi-Family [-~Rcntal n-lCommercial
Date_Z-' zT-
[-~lndustrial
Number of Fixtures:
Electric Contractor
Use / Nature of Work
0 EIV form attached (If Replacement)
Size Malerisl Type # Conn. Type
Sanilafy Sewer
$iormSewe~
Water Se~vicc
Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh WI
$4903-1128. Commencing work without permit(s) will result in fccs being doubled ur $100.00 plus the normal permit fee,
which ever is greater.
OR
check here .i£ ,you wane, thl$ processed ehrouilh your account: ~
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