HomeMy WebLinkAbout0103646-Plumbing (fixtures)OSHKOSH
ON THE WATER
Job Address 1351 CEDAR ST
Contractor JNL PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner RANDALL SCHMITZ
Category 410- Residential-Interior
No 103646
Create Date 08/21/2003
Plan
Bathtub 1 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 0 Water Soffner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Lavatory I LndryTray 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
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 Braakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use/Nature 3UPLEXJ Replace fixtures.
of Work
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
Conn. Type
0
0
0
0
0
0
0
Valuation $1,000.00 Plan Approval $0.00 Permit Fees $20.00 [] PermitVoided~
issued By
Date 08/21/2003
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 authority to enforce easement restrictions of which it is not a party, if you perform the work
described in th//s permit application within an easement, the City strongly urges the permit applicant to contact the
easement laol/ter(s) and to secure any necessary approvals before starting such activity.
~ 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
POBox 1130
Oshkosh, WI 54903- I 130
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 1 t28,
Oshkosh WI 54903-I 128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participatin~ in the Permit Fee Account System and have adequate funds, check here
i£¥ou want this processed through your account ~
Job Address [ 5 5 I Q~Ofr-
Owner
[-]Single Family ~uplex
Value (Including labor and materials)
Contractor J (~ /-- ¢/0,'~60~(
[~Multi-Family [-]Rental [~]Commercial~
[~Industrial
Number of Fixtures:
. Bathtub [ Lndry Standp
Whirlpool Disposal
Lavatory ] Dishwasher
Toilet ~ Sump Pump
Res. Sink Ejector/Grind
Bar Sink Water Sofmer
Water Heater Local Waste
[3 Gas [~ Elect [] PwxVnt Clothes Wshr
Shower Bidet
Floor Drain Beer Tap
Lndry Tray Classrm Sink
Lab Sink Surgeons Sink
Plaster Sink Breakrm Sink
Sterilizer
Dent. Opec. Shamp Sink
Dip Well Flr/Wst Sink
Drink Ftn Catch Basin
Wait. St. Wash Ftn
Ice Chest Urinal
Exam Sink Gar Diain
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 Sm
Electric Contractor
Use / NatUre of Work
Sanitary Sewer
Size Material
OR ]--]Electric Installation Verification form attached
(If Replacement)
T~e # Co~.T~e
Storm Sewer
Water Service
7/03