HomeMy WebLinkAbout0103292-PlumbingOSHKOSH
ON THE WATER
.lob Address 506 SCOTT AVE
Contractor SOPER PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner JEFFREY J/SUE A WICINSKY
Category 410 - Residential-Interior
No 103292
Create Date 05/01/2003
Plan
Bathtub 1 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 1 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 1 Lndry Stndp 1 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
Res. Sink 0 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 0 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
Plumbing for remodeling existing bedroom into a bathroom.
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$1,500.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$24.00
Date
08/05/2003
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 2225 BURNWOOD DR Oshkosh WI 54902 - 0000 Telephone Number
426-2151
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
PLUMBING PERMIT -APPLICATION AND RECORD
Owner JEFFREY J/SUE A WICINSKY
Create Date
Plan
OSHKOSH
ON THE WATER
Job Address 506 SCOTT AVE
Contractor SOPER PLUMBING
Category 410- Residential-Interior
No 103292
05/01/2003
Bathtub I Shower 0 Ejector/Grind 0 Dip Well 0 F PrepSink 0 Gar Drain 0
Whirlpool 0 Floor Drain 0 Water Soffner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Lavatory 1 LndryTray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 1 LndryStndp 1 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
Res. Sink 0 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 0 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
~FR/ Plumbing for remodeling existing bedroom into a bathroom.
of Work
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
Corm. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Valuation $1,500.00 Plan Approval $0.00 Permit Fees $24.00
Issued By
[] Permit Voided
Date 05/05/2003
In the perf~imance.~,~ work, I agree~,~orm all work pursuant to rules governing the described construction.
Sigrlatur% ~.~¢'~~~... ~, ~ Date ~ ~"-'-
~ ..... 0 ~ -- - Agent/Owner
Address 2225 BURNWOOD DR Oshkosh WI 54902 - 0000 Telephone Number 426-2151
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
POBox 1130
Oshkosh, WI 54903-1 I30
Phone: (920) 236-5050
Fax: (920) 236-5084
O/HKO/H
Plumbing Permit Application
hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the ~vork 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 ~he
normal permit fee, which ever is greater.
OR
lf ¥ou are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account
Job Address ~-'1~,,~_~ .b',f_~?-/' ~.;~-- alue (,ncludlnglaborandmaterias~ Date .4~_~
[~Single Family ]--]Duplex [~Multi-Family .~Rental [~]Commercial [-]Industrial
Number of Fixtures:
Bathtub ~ Lndry Standp ~ Dent. Oper. Shamp Sink
Whirlpool Disposal Dip Well Flr/Wst Sink
Lavatory I Dishwasher Drink Fm Catch Basin
Toilet t Sump Pump Wait. St. Wash Fin
Res. Sink Ejector/Grind Ice Chest Urinal
Bar Sink Water Softner Exam Sink Gar Drain
Water Heater Local Waste Sculry Sink Soda Disp
1~ Gas 0 Elect O PwrVnt
Clothes Wshr Hand Sink Coffee Maker
Shower
Bidet F Prep Sink Ice Maker
Floor Drain
Be~r 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 Sm
Sterilizer
Electric Contractor
Use / Nature of Work
OR
[-~Electric Installation Verification form attached
(If Replacement)
Sanitary Sewer
Size
Material Type # Corm. Type
Storm Sewer
Water Service
7/03