HomeMy WebLinkAbout0098549 POSHKOSH
ON THE WATER
Job Address 516 W 18TH AVE
Contractor AHERN-GROSS INC.
Bathtub 0 Shower 2
Whirlpool 1 Floor Drain 1
Lavatory 3 Lndry Tray 1
Toilet 2 Lndry Stndp 1
Res. Sink 1 Disposal 1
Bar Sink 0 Dishwasher 1
Water Heater 1 Sump Pump 0
Site Drain 1 Classrm Sink 0
Roof Drain 0 Breakrm Sink 0
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner MICHAEL & LOIS NOONE
Category 410 - Residential-Interior
Ejector/Grind 0 DipWell 0 F Prep Sink
Water Softner 0 Drink Ftn 0 ServSink
LocaIWaste 1 Wait. St. 0 Shamp Sink
Clothes Wshr 1 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 1
Sterilizer 0 Surgeons Sink 0 Ice Maker I
No 98549
Create Date 11/11/2002
Plan
0 Gar Drain
0 Soda Disp
0 Coffee Maker
Int Grease Trap
Ext Grease Trap __
Use/Nature SFR/Remodel Depot - House conversion.
of Work
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Valuation $20,200.00 Plan Approval $0.00 Permit Fees $120.00
Issued By
Date
11/11/2002
[] 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 218 S MAIN ST FOND DU LAC WI 54935 - 0000 Telephone Number
920-921-1414
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
o° RECEIVED
Plumbin P it APOlka n
O/HKO./H
ON THE WATER
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.
Job Address 5[lla x~0. I~''rw bq~' Value (Inctuding labor and materials)~ Z~! ~.OO
Owner ~ ~ ~i~ ~oo~ Contractor ~H~R~- ~g~ ~
~Siagle Family ~Duplex ~ ~Mulfi-Family ~Rental ~Commercial
Date //- 7' ag.
[-]Industrial-
Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Res, Sink
Bar Sink
Water Heater
Il[Gas [3 Electric ~Powe{ Vent
Shower
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
Electric Contractor
Use / Nature of Work
Sterilizer Breakrm Sink
Lndry Standp [ Dent. 0per.
Disposal ] Dip Well
Dishwasher ] Drink Fin
Sump Pump Wait. St.
Ejector/Grind Ice Chest
Water Softner Exam Sink
Local Waste ! Sculry Sink
Clothes Wshr ] Hand Sink
Bidet F Prep Sink
Beer Tap Se~v Sink
Classrm Sink Int Grease Trap
Surgeons Sink Ext Grease Trap
Shamp Sink
Flr/Wst Sink
Catch Basin
Wash Ftn
Urinal
Gar Drain
Soda Disp
Coffee Maker
Ice Maker
Site Drain
Roof Drain
Standp Rec
EIV form attached (If Replacement)
g~Mot~e L.. D~'PoT / 1~o~%~ Cc.~hjOZ~OM
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type # Conn. Type
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
Check here if you want this processed throuqh your accoun~ []