HomeMy WebLinkAbout0102983-PlumbingOSHKOSH
ON THE WATER
Job Address 809 JEFFERSON ST
Contractor BERNDT EXCAVATING
(~ITY 6F OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner ST JOHNS EVAN LUTH CHURCH
Category 431 - Industrial-Exterior (other)
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0
Lavatory 0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0
Toilet 0 Lndry Stndp 0 Clothes Wshr 0 ice Chest 0 Fir/Wst Sink 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Fro 0
Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
Roof Drain 0 Breekrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 102983
Create Date 07/22/2003
Plan
Gar Drain 0
Soda Disp 0
Coffee Maker 0
Int Grease Trap . 0
Ext Grease Trap ~ 0
Use/Nature
of Work
ABANDON SEW&WTR
Valu~ion $300.00 Plan Approval $0.00 Permit Fees $50.00
Issued By
Date 07/22/2003
[] Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
AgentJOwner
Address 2527 W WAUKAU AVE OSHKOSH WI 54904 - 0000 Telephone Number 235-333t
To schb'dule inspections please call the Inspection Request line at 236-5t28 not'rig 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.
OSHKOSH
ON THE WATER
Job Address 809 JEFFERSON ST
Contractor BERNDT EXCAVATING
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
~;ITY ~F OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner ST JOHNS EVAN LUTH CHURCH
Category 431 - Industrial-Exterior (other)
0 Ejector/Grind 0 Dip Well 0 F Prep Sink __
0 Water Soffner 0 Drink Ftn 0 Serv Sink
0 LocaIWaste 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 102983
Create Date 07/22/2003
Plan
0 Gar Drain 0
0 Soda Disp 0
0 Coffee Maker 0
0 Int Grease Trap 0
0 Ext Grease Trap 0
0
0
0
0
Use/Nature
of Work
ABANDON SEW&WTR
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type
6 Concrete Lateral
.75 Iron Lateral
Conn. Type
0
0
I Aband
0
0
0
0
0
0
0
0
0
I Aband
0
0
To schedule inspections please call the Inspection Request line at 236-5t28 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.