HomeMy WebLinkAbout0103346-Plumbing (kitchen sink/sump pump)OSHKOSH
ON THE WATER
,Job Address 839 GROVE ST
Contractor JIM'S PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner RICHARD L/KELLI ABRAHAMSON
Category 410 - Residential-Interior
No 103346
Create Date 08/06/2003
Plan
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Lavatory 0 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 0 Lndry Stndp 0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
Res. Sink 1 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn 0 RPZValve 0
Water Heater 0 Sump Pump 1 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
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 $900.00 Plan Approval $0.00 Permit Fees $20.00 ~ Permit Voided
Issued By
Date 08/06/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address W-6166 GREENVILLE DRIVE GREENVILLE WI 54942 - 0000 Telephone Number
757-5258 OR 757-64(
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the
the work described in this permit application within an easement, the City strongly urges the permit applicant to contact
the easement holder(s) and to secure any necessary approvals before starting such activity.
~ . 0~/05/2003 12:55 FAX 920 757 6482 JIM'S PLL~BING [~001/002
FIui~ 05 O:B l~:~Op O~hkosh Insp~iol~$ 9~0-~1~-50~4
City of Oskkosh
InspeCtion Services D~vislon
POBox 1130
Oshkosh, ~/54903.1130
Phone: (920) 236-S050
F~×: (920) 23(~-$084
Plumbing Permit Application
[ hereby apply for a p~rrn/t ~o do and install the following plumbing on the prerrdscs hereinafter described, the work to cor~orm to the
Wi~co~sln State Phimbmg Code, in the performance of wh/ch all part/es hereto agree to and are bound by said s~a~,nes.
· Applicat/on(s) and fcc(s) c~m be brought ~ City Hall, Room 205 or mailed to Inspection Ser~/ces, PO Box I 128,
Oshkosh WI 5a903-1128. Commencing work without pcrmit(~) will result in fees baing doubled or $I 00.00 plus tha
normal permit 'fee, which ever is greater,
OR
]~lOu a~e a aontractor oarticioarlng in tile ]~ermit Fee Account $~tem ttnd have adequate fun~, chddk ~Prg
i~vou want tkis prqcesxed throu~ your account ~ '
l~]ladustria]
Number of Fixtures:
Electric Contractor
Use / Nature of Work.
~Electric Instal[at. ion Verification form attached
Size
Sanitary Sewer
Cram, Type