HomeMy WebLinkAbout0103369-PlumbingOSHKOSH
ON THE WATER
Job Address 2465 BLAKE CT
Contractor CJ PLUMBING
Bathtub 1 Shower
Whirlpool 0 Floor Drain
Lavatory I Lndry Tray
Toilet 0 Lndry Stndp
Res. Sink 0 Disposal
Bar Sink I 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 JILLM HENSEUN
Category 410- Residential-Interior
0 Ejector/Grind 0 Dip Well 0 F Prep Sink __
0 Water Soffner 0 Drink Ftn 0 Serv Sink
0 LocaIWaste 0 Wait. St. 0 Shamp Sink
0 Clothes Wshr 0 Ice Chest 0 FIrNVst Sink
0 Bidet 0 Exam Sink 0 Catch Basin
0 Beer Tap 0 SculrySink 0 Wash Ftn
0 Dent. Oper. 0 Hand Sink 0 Urinal
0 Lab Sink 0 Plaster Sink 0 Standp Rec
0 Sterilizer 0 Surgeons Sink 0 Ice Maker
No 103369
Create Date 07/18/2003
Plan
0 Gar Drain 0
0 Soda Disp 0
0 Coffee Maker 0
0 Int Grease Trap 0
0 Ext Grease Trap ~ 0
0 RPZ Valve 0
0 Eye Wash Statn 0
0
0
Use/Nature
of Work
~FPJ
Plumbing work for finishing off the basement.
Valuation $3,000.00
Issued By ~/~
Sanitary Sewer
Storm Sewer
Water Se~ice
Size Material Type #
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Plan Approval $0.00 Permit Fees $20.00 [] Permit Voided
Date 08/07/2003
Signatu,e " Da,e
~ %- AgentJOwner
Address 117 DIVISION ST NEENAH WI 5495~ - 9569 Telephone Number
751-8992
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 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.
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
O/HKO/H
Plumbing Permit Application
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
1£¥ou are a contractor participating( in the Permit Fee Account System and have adequate funds, ~heck here
if you want this processed through your account ~
Job Addres&~ (>5 ~[~ Value (hclua,g labor and mat~al~).
Owner Contractor
~ingle Fa~y ~Duplex ~Multi-Family ~Rental ~Commer~al ~Industrial
Date ~"-
Number of Fixtures:
Bathtub ] Lndry Standp Dent. Oper. Shamp Sink
Whirlpool Disposal D/p Well FIr/Wst Sink
&
Lavatory ~} D/shwasher Drink Fm Catch Basin
Toilet Sump Pump Wait. St. Wash Ftn
Res. Sink Ejector/Grind Ice Chest Urinal
Bar Sink 1 Water Softner Exam Sink Gar Drain
Water Heater Local Waste Sculry Sink Soda D/sp
[] Gas [] Elect [3 PwrVnt Clothes Wshr Hand Sink Coffee Maker
Shower Bidet F Prep Sink Ice Maker
Floor Drain Beer Tap Serv 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 R.P.Z. Valve Eye Wash Sin
Sterilizer
Electric Contractor
Use / Nature of Work
OR [-']Electric Installation Verification form attached
(If RepIacement)
Size
Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
7/03