HomeMy WebLinkAbout0103256 POSHKOSH
ON THE WATER
.lob Address 2420 2430 WISCONSIN ST
Contractor LARRY HANSEN PLBG
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner WILLIAM TRICKEL
Category 410 - Residential-Interior
No 103256
Create Date 05/21/2003
Plan
Bathtub 2 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 2 Water Soffner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Lavatory 4 Lndry Tray 0 LocalWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 4 Lndry Stndp 2 ClothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
Res. Sink 2 Disposal 2 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Bar Sink 0 Dishwasher 2 Beer Tap 0 SculrySink 0 Wash Ftn 0 RPZValve 0
Water Heater 2 Sump Pump 2 Dent. Oper. 0 Hand Sink 0 Urinal 0 EyeWash Statn 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
Use/Nature DUPLEX
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$9,320.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$144.00
Date 08/01/2003
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 N-1044TOWER VIEW DR GREENVILLE WI 54942 - 8683 Telephone Number
(C)851-6863
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 Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
JUL J 1 200J
CONIM, ,,-..T?£NT OF
, v,,,,ro£VELOPM ..IVr .
Plumbing Permit Apphcabon
lqq.
O/HKO/H
ON T~ WATER
I hereby apply for a permit to do and install the following 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 is greater.
OR
If Fou are a contractor participating in the Permit Fee Account SFstem and have adequate funds, check here
if you want this processed through Four account [~
Job Address LI~h.%COFI SI Ch, ,~o Value (Including labor and materials)q~"~J~. {r~ O} Dateq- Z~- O 3
~Single Famdy ' ~Duplex ~Multi-Family ~Rental ~Commercial ~Industrial
Number of Fixtures:
Bathtub ~ Lndry Standp ~ Dent. Oper. Shamp Sink
Whirlpool Disposal ~ Dip Well FIr/Wst Sink
Lavatory '~ Dishwasher ~ Drink Ftn Catch Basin
Toilet t~[ Sump Pump ~ Wait. St. Wash Fm
Res. Sink ~ Ejector/Grind lee Chest Urinal
Bar Sink Water Sofmer Exam Sink Gar Drain
V{a_ter Heater ~ Local Waste Sculry Sink Soda Disp
~Gas [2 Elect ~ pwrVnt Clothes Wshr Hand Sink Coffee Maker
Shower Bider F Prep Sink Ice Maker
Floor Drain t~ Beer Tap Serf Sink ' Site Drain
Lndry Tray Classrm Sink Iht Grease Trap Roof Drain
Lab Sink Surgeons Sink Ext Grease Trap Standp Rec
Plaster Sink Breakrm Sink
Sterilizer
Electric Contractor
Use / Nature Of Work
Sanitary Sewer
Storm Sewer
Water Service
O~R [--]Electric Installation Verificatidn form attached
(If Replacement)
Size
Material Type # Conn. Type
3/02