HomeMy WebLinkAbout0099279-Plumbing (dishwasher)OSHKOSH
ON THE WATER
.lob Address 823 HARMELAVE
Contractor GLAZE PLUMBING
Bathtub 0 Shower 0
Whirlpool 0 Floor Drain 0
Lavatory 0 Lndry Tray 0
Toilet 0 Lndry Stndp 0
Res. Sink 0 Disposal 0
Bar Sink 0 Dishwasher 1
Water Heater 0 Sump Pump 0
Site Drain 0 Classrm Sink 0
Roof Drain 0 Breakrm Sink 0
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner PERRY S/KELLEY HANSEN
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 0 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 99279
Create Date 01/03/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature SFR/Install owner supplied dishwasher.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$600.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$20.00
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 1865 JAMES RD OSHKOSH WI 54904 - 6873 Telephone Number
589-4014
City of Oshkosh
Inspection Servi~s Division
P O Box 1130
Osl~osh, WI 54903-I 130
Phone: (920) 236-5050
Fax: (920) 236-5084
Plumbing Permit
'z'rtrrF tEV£L O?t ENT
hereby apply for a ~t to do ~d ~l Oxe ~[lowi~ pl~b~g on ~ p~nfi~s h~r des~3e~ ~e ~ ~ co~ to ~e
Wh~nsin S~ Pl~b~ C~e, ~ ~ ~ffo~ce of w~ch. all p~fies hereto a~ee ~ and ~.~d by
Application(s) m~d fe~(s) can be brought to City Hall, Room 205 or mail~ to h~.~lion gm'ic~, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal pm'mit fcc, wh/ch cv~ is greater.
!f_vo~_. are-a cx~ntr~cto~ pltrtictoati~ i~ thc Per~nit_Fee__A cc_oun~_S.v~_ter~andJtave a~l_eau~te f~nd~, cl~'ckJier¢.
if-_voq,.want this proe,e.~ed thro~gI~ y~,.r account 'r']
,lob ' ~2~ ~,4~r~4~c't, ~' Value Onciuai~gl~-ma ma~ag) __ _
Addr~s ..... · _ __ . ,.~
I
~ngle Fa~y ~uplex ~Multl-Fam~y ~Rental ~Commercial
rq~dustrlal
Number of Fixtures:
Bathtub
Whirlpool _.. Di~l Dip W=ll ....... Fir/Wa! Sink
--
Lavawry Dishwasl~m' ~ Print/Fm ~ Cash Basin
Toilet ~ Sur~ !~ur~ Wait, St. Wash Fm
Re~, Sink Ej~:mrlOrind
Bat Sink Water Sofmet ~ Exam Sink ~ G~r Drain
Water H~m' ..... ~ Wast~ ~ Sculry Sink Soda Di~p
a~ Bid~ F Pr~ Sink lee Mak~
F~ ~in
~y T~y Clas~ Shk
~b Sink
PI~ Sink
Electric Contractor O~ ['-'[Electric Installation Veriflcati5n form attached
(If Reglacemem)
UsetNatureofWork ,~~ O--es- ,s ,~,~ __~.~i..
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sower
Water Service
3/o2