Loading...
HomeMy WebLinkAbout0099274-PlumbingOSHKOSH ON THE WATER .lob.Address 3428 EICHSTADT RD Contractor JIM'S PLUMBING Bathtub 2 Shower 0 Whirlpool 0 Floor Drain 1 Lavatory 2 Lndry Tray 0 Toilet 2 Lndry Stndp 1 Res. Sink 1 Disposal 1 Bar Sink 0 Dishwasher 1 Water Heater 1 Sump Pump 1 Site Drain 0 Classrm Sink 0 Roof Drain 0 Breakrm Sink 0 CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner FOX CITIES CONSTRUCTION Category 410 - Residential-Interior Ejector/Grind 0 DipWell 0 F Prep Sink 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 CIothesWshr 0 Ice Chest 1 FIr/Wst Sink 0 Bidet 0 Exam Sink 0 Catch Basin 0 Beer Tap 0 Sculry Sink 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 0 No 99274 Create Date 08/21/2002 Plan Gar Drain Soda Disp Coffee Maker Int Grease Trap Ext Grease Trap Use/Nature NSFR/ Ice maker is listed above as ice chest. of Work Valuation Issued By Sanitary Sewer Storm Sewer Water Service Size Material Type # $8,000.00 Plan Approval $0.00 Permit Fees Conn. Type 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 $84.00 Date 01/03/2003 Permit Voided In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. Signature Date Agent/Owner Address W-6166 GREENVILLE DRIVE GREENVILLE WI 54942 - 0000 Telephone Number 757-5258 OR 757-64( 01/03/2003 08:28 FAX 920 757 6482 FIpr- 12 02 Ol:02p Oshkosh JI~S PLUMBING ~]001/002 Inspeotions 8~0-23G-S084 p. 1 City of Oshkosh Inspection Services Division P O Box 1130 Oshkosh, WI 54903-I 130 Phone: (920) 236-5050 Fax: (920) 236-5084 © HKOJH ON TH~ WAT~ 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 $100.00 plus the normal permit fee, which ever is greater. OR l~f you are a contractor parti{:iRating in the PermiL_rn}ee Account..Systam and have a. dequate funds, check here if you wa*it thi$_pr° c*S sed through your account j~ l~ ' I" .~ / , . -, ~ ~.. '. ..~ ~'{ r~ ~y,, i/.~' Value (Ina1-dinglaborandmaterials} ?/? ~O00 Date t/g/J 5 ,.~ :/.. Owner t,~ 't~4 ,~.-~ Contractor Si.~l~ ra~il~ ~,l~-[a~il~ ~,nt~l ~C~r,ial ~l-d.Jtrial Number of Fixtures: Bmhlub ~ Lndry .-qlandp [ Dcm. Oper, Shamp Sink WhlrIlaool Disposal [ Dip Well FIr/Wst Sink l~valory ~ Dishwasher [ Drink Ftn Caleb Basin Toilet ~ Sump Pump [ Wait. St, __ Wash Fin Res, Sink ! Ejeator/Gr/nd Ic¢-C:R~zt f~*.i~,~,t. _~ [ Urinal Bar Sin~ Wast Sofln~ Exam Sink Gar Drain Water Heat~ ) L~al Wasle Scul~ Sink Soda Disp ~G~ 3 Ele~ 0 P~Vnt Cloth~ Wshr Hand Sink Coff~ Maker Shower Bidet F Peep Sink Ice Maker Floor Drain ~ Beer Tap ~ Sink Site Drain Lnflty Tray Class~ Sink Im Grease Trap Roof Drain ~b Sink S~g~na Sink Plaster Sink Breakrm Sink Electric Contractor Use I Nature of Work Sanitary Sewer StoxTn Sewer Water Service OR [~]Eleetric Installation Verification form attached (If Replacemen0 Size Material Type # Conn. Type 04/12/2002 FRI 14~04 [TX/RX NO 761'21 /02