HomeMy WebLinkAbout0103345-PlumbingOSHKOSH
ON THE WATER
,Job Address 1901 OSBORN AVE
Contractor JIM'S PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner MICHAEL E COYLE et al
Category 410 - Residential-Interior
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink
Whirlpool 0 Floor Drain 1 Water Softner 0 Drink Ftn 1 Serv Sink
Lavatory 0 Lndry Tray 1 LocaIWaste 0 Wait. St. 0 Shamp Sink
Toilet 0 Lndry Stndp 0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin
Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn
Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker
No 103345
Create Date 08/06/2003
Plan
0 Gar Drain
0 Soda Disp
0 Coffee Maker
0 Int Grease Trap
0 Ext Grease Trap
0 RPZ Valve
0 EyeWash Statn
0
0
Use/Nature COMM
of Work
Size Material Type # Conn. Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 0
0
0
0
0
Valuation $2,000.00 Plan Approval $0.00 Permit Fees $20.00 ~ Permit Voided
Issued By
Date 08/06/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address W-6166 GREENVILLE DRIVE GREENVILLE WI 54942 - 0000 Telephone Number
757-5258 OR 757-64(
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.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the
the work described in this permit application within an easement, the City strongly urges the permit applicant to contact
the easement holder(s) and to secure any necessary approvals before starting such activity.
08/05/2003 12:43 FAX 920 757 6482 JIM'S PLUI~BING ~001/002
Ciiy oi'Oshkosh
Inspection Services Divlllon
P O Box I
Oshkosh, ~
~one: (920) ~36-30~0
Fax: (920)
Plumbing Permit Application
! hereby apply for a penni! m do and iv, stall the £ollow[ng plumbing on the pre~ns ~r d~s~ ~g w~k to co~o~ to ~e
~i~o~ ~t~ Plu~g Code, ~ ~e ~o~e of w~ch ali ~ h~to a~e ~ ~d a~ bo~ ~ said
A~lioa~on(s) ~d fe~s) c~ b~ brought to Ci~ H~I, R~m 205 or ~iled ~ ~*~on S~e~, PO Box 1128,
Os~sh ~ 54903-1128, Coercing work ~o~ pe~t(~) ~B re~t ~ f~ b~ doubled or $I00.00 pl~
noel p~it f~, ~ioh ewr is ~eater.
OR
~SJn[ie Fa~ly ~Duplex ~ultilFa~iy ~en~ ~Co~ereial ~Indus~al
Number of Fixtures:
Electric Contractor
Use I Nature of Work
O.Q~R [~]Electric Installation Verification form attached
(1£ t~Wla~n~at)
Sanitary Sewer Si~e Matexial Type # Conn. Type I
Service
v/o3
08/05/2003 TUE 12:26 [TX/RX NO 70681 l~1001