HomeMy WebLinkAbout0098481-Plumbing (tub, lav & toilet)OSHKOSH
ON THE WATER
Job Address 745W 17TH AVE
Contractor GLAZE PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner ANTHONETTE T MILLER
Category
410 - Residential-Interior
Bathtub I Shower 0 Ejector/Grind 0 DipWell 0 F PrepSink 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 ServSink 0
Lavatory 1 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0
Toilet 1 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 Ftn 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 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 98481
Create Date 11/07/2002
Plan
Gar Drain 0
Soda Disp 0
Coffee Maker 0
Int Grease Trap 0
Ext Grease Trap 0
Use/Nature
of Work
FFP,/
Replace BT, lay & toilet.
Size Material Type # Conn. Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 0
0
0
0
0
Valuation $2,500.00 Plan Approval $0.00 Permit Fees $20.00
Issued By
Date 11/07/2002
[] Permit Voided J
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
Insp~fion Services Division
P 0 Box 1130
Oshkosth WI 54903-1130
Phone: (920) 236-$050
Fax: (920) 236-5084
RECEIVED
NOV 0 -f 2002
DEPARTMENT OF
COMMUNITY DEVELOPMENT.
ON TH[=
Plumbing Permit Application
I hereby apply for a permit to c~o and in,tall tile following plumbing on the premises hereina~er descffoed, the work to conform to the
Wisconsin Slate Plumbing Code, in the l~rfornm~nce of which ail parties hereto agree I~ and are. bound by saki slatu~es.
Application(s) and fee(s) can be brought to Cit'), Hall, Room 205 or mailed to Inspection Serv/ces, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal p~nnit fcc, which cvor i~ grcater.
OR
!.f_vou...ari_a co'ntractar partici~atin'e in the_ Permit Fee AccounLSvstenLand~ave ad~auate i£und~, cl~ckJlere
if yott..w.ont tbi~ p~_o,~*.v~d throttgh yo,u.r account ~]
Job Address,,_...'~l~ b~_ Ca3 .__/i/,~'.._ Value (I~¢ludh~§laboranclmatcrials)
Owner ~ g'~ ~%; ~'~ .... Contractor ~.~,,
ingle Fa~ ~Duolex ~Multi-FamRy ~Rental ~Commerc~l ~dus~al
Number of Fixtures:
Bathtub ...
~irtp~l ...... Di~l Dip Wc[I ,~ FIr~/Sink
Toilet ~ Su~ Pu~ ' Wait, St Wash Fm
~. Sink
gar Sink
Wa~ H~
G ~ ~ El~ ~ ~Vnt CIo~ Ws~ Ha~ Sink Coff~ Ma~
g~r Bid~ F Pr~ Si~ Icc Mak~
~ ~in
~b Sink Sur~ns Sink .. ~t
Electric Contractor 0_~ [-]Electric Installation Veriflcafl$n form attached
(If R~l~em~O
Use / NaCre of Work ~o[~ ~T I &o ~~
Mat~~~ ~ ~ W~
S~ Sewer
S~m Scw~
Water Service
3/02