HomeMy WebLinkAbout0103134-Plumbing (laundry tub)OSHKOSH
ON THE WATER
.lob Address 2405 NICOLE CT
Contractor M P KELLY
Bathtub 0 Shower 0
Whirlpool 0 Floor Drain 0
Lavatory 0 Lndry Tray 0
Toilet 0 Lndry Stndp 0
Res. Sink 0 Disposal 0
Bar Sink 0 Dishwasher 0
Water Heater 0 Sump Pump 1
Site Drain 0 Classrm Sink 0
Roof Drain 0 Breakrm Sink 0
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner GARY/REBECCA GIEWALD
Category 410 - Residential-Interior
No 103134
Create Date 07/28/2003
Plan
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 0 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 SFR/Replace laundry tub and sump pump.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$753.00 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 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 665 N MAIN ST OSHKOSH WI 54901 - 4431 Telephone Number
231-1750
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 Oshknsh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903~1130
Phone: (920) 236-5050
Fax: (920) 236-5084
JUL 2 200,.
Plumbing Permit Apph'6 fi'bon
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 alt 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 is ._re'eater.
OR
If you are a contractor participating in the Permit Fee Account System and have adequate fund& check here
if you want this processed through your account [~
[~S~n gle Family ['"[Duplex ['-]Multi-Family [--]Rental ['"]Commercml
Date y ~-0~
[-']Industrial
Number of Fixtures:
Bathtub Lndry Standp Dent. Oper. Shamp Sink
Whirlpool Disposal Dip Well Fle/Wst Sink
Lavatory Dishwasher Drink Fm Catch Basin
Toilet Sump Pump [ Wait. St. Wash Fm
Res. Sink Ejector/Orind lee Chest Urinal
Bar Sink Water Sot'm~r Exam Sink Gar Drain
Water Heater Local Waste Sculry Sink Soda Disp
[] Gas [] Elect [] P~n'Vnt Clothe~ Wshr Hand Sink Coffee Maker
Shower Bidet ..... F prep Sink Ice Maker
Floor Drain
Beer Tap Serv Sink Si~e Drain
Lndry Tray } Clnssrm Sink int Grease Trap Roof Drain
Lab Sink Surgeons Sink Ext Grease Trap StaMp Rec
Plaster Sink Br~akrrn Sink
Sterilizer
Electric Contractor O~R [-']Electric Installation Verificati6n form attached
(If Replacement)
Material~e ~ Co~. T~e
Sa~m~ Sew~ ,
Water Se~ice
3/02