HomeMy WebLinkAbout0102968-Plumbing (laundry sink)OSHKOSH
ON THE WATER
Job Address 502 W 6TH AVE
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner MR/MRS KIRK L ZASTROW
Contractor KOCH PLUMBING
Category 410- Residential-Interior
Bathtub 0 Shower
Whirlpool 0 Floor Drain
Lavatory 0 Lndry Tray
Toilet 0 Lndry Stndp
Res, Sink 0 Disposal
Bar Sink 0 Dishwasher
Water Heater 0 Sump Pump
Site Drain 0 Classrm Sink
Roof Drain 0 Breakrm Sink
0 Ejector/Grind 0 Dip Well 0 F Prep Sink
0 Water Softner 0 Drink Ftn 0 Serv Sink
1 Local Waste 0 Wait. St. 0 Shamp Sink
0 Clothes Wshr 0 Ice Chest 0 FIr/Wst 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 102968
Create Date 07/21/2003
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 }UPLEX/Add laundry sink for A.W. discharge.
of Work
Sani~rySewer
Storm Sewer
Water Service
Size Material Type #
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Valuation $750.00 Plan Approval $0.00 Permit Fees $20.00
Issued By
Date 07/21/2003
[] Permit Voided J
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction,
Signature Date
Agent/Owner
Address 2005 DO'FY ST OSHKOSH WI 54901 - 0000 Telephone Number
BUTCH (C)379-8753
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, W~ 54903-1130
Phone: (920) 236-5050
Fax; (920) 236-S084
O./HKO/H
Plumbin Permit ApPlicatibn ·
I hereby apply for a pcmm to do and install the following pi lb g o ¢ promises hcreina(tcr dcscr bcd, t c work lo conform to the
Job Address -~- ~ zL//,~ Value (l,,el.,~,,~'~
~]Singlc Family [~)uplex I'-]Mulii-Family [~Ren~al {~Commercial
~]Industrial
Number of Fixtures:
O.~lhtub L~d~ SL~ndp ____ I)c~,t Opcr. Shartlp Sin~
Electric Contractor
Use / Nature of Work
OR [] EIV form at~ached (IfReplacemcnt)
Sanitary Sewer
Storm Sewer
Water Service
S/zc Material Typc # Conn. Type
Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Insp~ctlon Services, PO Box 1128, Oshkosh WI
54903-1128. Commencing work without permit(s) will result m fees being doubled or $100.00 plus the normal permit fee,
which ever is greater.
OR
Check here .(E .you ~anC ch.~$ p.t'ocessed t:hz-ou~h~...~ou,," accoutae []
I0 3~d ONI BNI~tWfi~d HOOX ~8~8§£~8~B 0P:lO