HomeMy WebLinkAbout0103497-PlumbingOSHKOSH
OH THE WATER
Job Address 19 W CUSTER AVE
Contractor JNL PLUMBING
CITY OF OSHKOSH No 103497
PLUMBING PERMIT - APPLICATION AND RECORD
Owner GARY R/MICHELLE WOODS Create Date 08/1t/2003
Category 410- Residential-Interior Plan
Bathtub I 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 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 1 Lndry Stndp 0 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
BarSink 0 Dishwasher 0 BeerTap 0 SculrySink 0 WashFtn 0 RPZValve 0
Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 EyeWash Stern 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 FPJ Convert approx. 1/2 of NW room of 1 st floor into a full bath.
of Work
Valuation $1,200.00
Issued By ~J~
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
Plan Approval $0.00 Permit Fees $20.00 [] Permit Voided
Date 08/13/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no au[hodty to enforce easement restrictions of which it is not a party, if you perform [he work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easeme,ni[holder(s) 5~secure any necessary approvals before starting such activity.
Signatur~ _/~~.~,~,~ ~ ~' Date
IN 4c Agent/Owner
Address 1111 Minnesota Oshkosh WI 54902 - 0000 Telephone Number
232-7270
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 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
lf vou are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account [~
JobAddress l~ ~" ~54
Owner
[~.ingle Family [~]Duplex
Value (Including labor and materials) J
Contractor ¢_]/~~-
~]Multi-Family []Rental [~]Commereial
Date
[~Industrial
Number of Fixtures:
Bathtub [ Lnthy Standp
Whirlpool Disposal
Lavatory ~ Dishwasher
Toilet } Sump Pump
Res. Sink Ejector/Grind
Bar Sink Water Softner
Water Heater Local Waste
[] Gas [] Elect [] PwrVnt Clothes Wshr
Shower Bidet
Floor Drain Beer Tap
Lndry Tray Classrm Sink
Lab Sink Surgeons Sink
Plaster Sink Breakrm Sink
Sterilizer
Electric Contractor
Use / Nature of Work
Dent. Oper. Shamp Sink
Dip Well Flr/Wst Sink
Drink Fm Catch Basin
Wait. St. Wash
Ice Chest Urinal
Exam Sink Gar Drain
Sculry Sink Soda Disp
Hand Sink Coffee Maker
F Prep Sink Ice Maker
Serv Sink Site Drain
Iht Grease Trap Roof Drain
Ext Grease Trap Standp Rec
ILP.Z. Valve Eye Wash Sin
OR
[-]Electric Installation Verification form attached
(If Replacement)
Sanitary Sewer
Storm Sewer
Water Service
Size
Material
Type
# Corm. Type
7/03