HomeMy WebLinkAbout0103153 POSHKOSH
ON THE WATER
.lob Address 1901 VlNLAND ST
Contractor KOCH PLUMBING
Bathtub 0 Shower
Whirlpool 0 Floor Drain
Lavatory 0 Lndry Tray
Toilet 0 Lndry Stndp
Res. Sink 0 Disposal
Bar Sink 0 Dishwasher
Water Heater 0 Sump Pump
Site Drain 0 Classrm Sink
Roof Drain 0 Breakrm Sink
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner JOSEF E SATTAKEH/ZAHRA SHAFI
Category 410 - Residential-Interior
No 103153
Create Date 07/29/2003
Plan
1 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
0 WaterSoftner 0 Drink Ftn 0 ServSink 0 Soda Disp 0
0 Local Waste 0 Wait. St. 0 ShampSink 0 Coffee Maker 0
0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
0 Beer Tap 0 SculrySink 0 Wash Ftn 0 RPZValve 0
0 Dent. Oper. 0 Hand Sink 0 Urinal 0 Eye Wash Statn 0
0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use/Nature SFR/Install shower, valve & base, replace sill faucet & water services valve and plumbing repairs.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$1,247.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$20.00
Date 07/29/2003
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 2005 DOTY ST OSHKOSH WI 54901 - 0000 Telephone Number
BUTCH (C)379-8753
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
CiW of Oshkosh
Inspection Services Division
I fl B.. l. Jlll
Phone: (920) 236-5050
Fax: (920) 236-5084
O/HKO./H
,Plumbing Permit ApPlicatib.,n. ·
hereby apply for ~ pcmfit ~o clo and install the follox.4ng plumbing on the premises hereinafte,~ described, thc work 1o conform Io the
Wis¢oc,$in $1a c Plur~bmg Code, in thc perfomunc¢ of which all panics hereto agree ~o and arc bound by saici statutes.
· lob ~ddrcss
[~Single l;amily ~_]l)uplex
~]Industrial
Number of FixCuros:
l~athlub .... L~dfy $1.andp l~2tll O0¢r, ~ Shan~ S~nE
FI~o~ D. eain Bidet f ~ Sink 1¢¢ Maker
Electric Contractor OR ~ EIV form attached (If Replacement)
Use/NatureofWork /t~/~/ ~,/~/~;~/~,'~'~ ~ ~ ~, ~~&' ~/~' A~
Material T~ ~ Conn. T~
Sani~ Sewer
Waier Service
Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Sendces, 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 great~'.
OR
Che~ here if you want ~his processed chrou~h your ac¢oun~ ~
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