HomeMy WebLinkAbout0102880 POSHKOSH
ON THE WATER
Job Address 75t 753 WISCONSIN ST
Contractor E C MERRILL INC
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner TERRY UJOANNE RUPP
Category 440- Industrial-Interior
Bathtub 0 Shower 0 Ejector/Grind 0 Dip Well 0 F Prep Sink
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink
Lavatory 0 LndryTray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink __
Toilet 0 LndryStndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink __
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin
Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 1 Wash Ftn
Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink I Urinal
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker
No 102880
Create Date 07/16/2003
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 ;OMM/#751/Install 2 new sinks for convenience store.
of Work
Valuation $1,500.00
Issued By ~
Size Material Type #
Sanitary Sewer
Storm Sewer
Water Service
Conn. 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
In the performa~o~ ~fform all work pursuant to rules governing the described construction.
Signature~~
~,,~"~ ~ ~'~ '""'"~ Agent/Owner
Address -~94~wl'r~-,f. AVE OSHKOSH
Date
Wi 54902 - 0000 Telephone Number
Date 07/16/2003
235~3600
City of Oshkosh
Inspection Services Division
POBox 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 Hail, 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
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check herr,
i£¥ou want this processed through your account ~
JobAddress 7~1 /(J/~L-:~"¢/J~/Valne(includinglaborandmate~als~/
[--]Single Family [-]Duplex [-]Multi-Family [-]Rental [~Commercial
[~]Industrial
Number of Fixtures:
Bathtub Lndry Standp Dent. Oper.
WhirlpooI Disposal Dip Well
Lavatory Dishwasher Drink Fto
Toilet Sump Pump Wait. St.
Res. Sink Ejector/Grind Ice Chest
Bar Sink Water Sofmer Exam Sink
Water Heater Local Waste Sculry Sink
'3 Gas '3 Elect Q PwrVnt
Clothes Wshr Hand Sink
Shower
Bidet F Prep Sink
Floor Drain
Beer Tap Serv Sink
Lndry Troy Classrm Sink Iht Grease Trap
Lab Sink
Surgeons Sink Ext Grease Trap
Piaster Sink
Breakrm Sink
Sterilizer
Shamp Sink
Flr/Wst Sink
Catch Basin
Wash Fto
Urinal
Gar Drain
Soda Disp
Coffee Maker
Ice Maker
Site Drain
Roof Drain
Standp Rec
Electric Contractor
Use / Nature of Work
(If Replacement)
Sanitary Sewer
Stunn Sewer
Water Service
[--]Electric Installation Verificati6n form attached
Size Material Type
Conn. Type
3/02