HomeMy WebLinkAbout0103266-Plumbing (interior)OSHKOSH
ON THE WATER
,Job Address 4010 SHARRATT DR
Contractor P&S PLUMBING
Bathtub I Shower
Whirlpool 0 Floor Drain
Lavatory 4 Lndry Tray
Toilet 4 Lndry Stndp
Res. Sink 1 Disposal
Bar Sink 0 Dishwasher
Water Heater 1 Sump Pump __
Site Drain 0 Classrm Sink
Roof Drain 0 Breakrm Sink
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner US LAND DEVELOPMENT LLC
Category 410- Residential-Interior
2 Ejector/Grind 0 Dip Well 0 F Prep Sink __
I Water Softner 0 Drink Ftn 0 Serv Sink
0 Local Waste 0 Wait. St. 0 Shamp Sink
2 Clothes Wshr 0 Ice Chest 0 Ftr/Wst Sink __
1 Bidet 0 Exam Sink 0 Catch Basin
I Beer Tap 0 SculrySink 0 Wash Ftn
1 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 103266
Create Date 03/19/2003
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 EyeWash Statn 0
0
1
ofUse/Nature Work ~ISFR
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 $8,200.00 Plan Approval $0.00 PermitFees $120.00
Issued By~/~
[] Permit Voided
Date 08/01/2003
in the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signatur~'~'l ~ ~ Date
~ Agent/Owner
Address PO BOX2153 APPLETON WI 54913 - 0000 Telephone Number 734-3912
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 t 130
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 part/es 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
lf vou are a contractor participating: in the Permit Fee Account System and have adequate funds, check here
if you want this processed through Four account
Job Address t-/ o ! ~ 5, )4Atzt)/+ Z'F Value (Including labor and matehals) ~ ~ 2 c a ~" Date fr / ~//~.J
Owner Contractor X ~/~/l%cr ~ ~%7~ /4~ ~-~e~
[~Single Family [~]Duplex [~Multi-Family [-]Rental [~Commercial [~Industrial
Number of Fixtures:
Bathtub ~ Lndw Standp ~- Dent. Oper. Shamp Sink
Whirlpool Disposal I D/p Well Flr/Wst Sink
Lavatory t.[. Dishwasher 1 Drink Ftn Catch Basin
Toilet L[ Sump Pump [ Wait. St. Wash Fm
Res. Sink ] Ejector/Grind Ice Chest Urinal
Bar Sink Water Sofmer Exam Sink Gar Drain
Water Heater ] Local Waste Sculry Sink Soda Disp
~ Gas [] Elect D PwrVnt Clothes Wshr Hand Sink Coffee Maker
Shower 2
Bidet F Prep Sink Ice Maker
Floor Drain [
Beer Tap Serv Sink Site Drain
Lndrg Tray Classrm Sink Iht Grease Trap Roof Drain
Lab Sink Surgeons Sink Ext Grease Trap Standp Rec
Plaster Sink Breakrm Sink ILP.Z. Valve Eye Wash S~n
Sterilizer
Electric Contractor
Use / Nature of Work
OR
[~]Electric Installation Verification form attached
(If Replacement)
Sanitary Sewer
Storm Sewer
Water Service
Size
Material Type # Coma. Type
7/03