HomeMy WebLinkAbout0098381-Plumbing (remodel)OSHKOSH
ON THE WATER
Job Address 562 BOYD ST
Contractor SOPER PLUMBING
Bathtub I Shower
Whirlpool 0 Floor Drain
Lavatory 1 Lndry Tray
Toilet I Lndry Stndp
Res. Sink 0 Disposal
Bar Sink 0 Dishwasher
Water Heater 1 Sump Pump
Site Drain 0 Classrm Sink
Roof Drain 0 Breakrm Sink
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner DAVID M CECH
Category 410 - Residential-Interior
0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0
0 WaterSoftner 0 DrinkFtn 0 ServSink 0
1 Local Waste 0 Wait. St. 0 ShampSink 0
0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0
0 Bidet 0 Exam Sink 0 Catch Basin 0
0 Beer Tap 0 SculrySink 0 Wash Ftn 0
0 Dent. Oper. 0 Hand Sink 0 Urinal 0
0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 98381
Create Date 11/04/2002
Plan
Gar Drain 0
Soda Disp 0
Coffee Maker 0
Int Grease Trap 0
Ext Grease Trap 0
Use/Nature
of Work
I uplex/Remodel *Installation of the electric water heater will
umging application.
require a separate Electric Permit as an EIV form was not provided with the
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 $2,800.00 Plan Approval $0.00 Permit Fees $30.00
Issued By ~,~
Date 11/04/2002
In the performance o,f this work, I agree to perform all work pursuant to rules governing the described construction.
S i g n at u re~~.--.~..~~_..~..~
~'/// .... '~--~/-- Agent/Owner
Date
Address 2225 BURNWOOD DR Oshkosh WI 54902 - 0000 . Telephone Number
426-2151
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
O/HKO/H
ON TIlE WATER
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
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through ¥ou.r account ~
Job Address .~ ~
Owner L'~.,~/~ z~-
~--]Single Family
./C:fi,o?D ,.~-' Value (Including labor and materials) ~./~"~:)~. ~:~ Date/'~L V/-a~
( '7~-t'_V~ Contractor ._~z-:~ /'~o/3/~e'~'
[~7[Duplex [--]Multi-family [--]Rental I--]Commercial [--}Industrial
Number of Fixtures:
Bathtub /
Whirlpool
Lavatory
Toilet t
Res. Sink
Bar Sink
Water Heater /
~ Gas~lect 2 PwrVnt
Shower
Floor Drain
Lndry Tray /
Lab Sink
Plaster Sink
Sterilizer
Lndry Standp Dent. Oper. Shamp Sink
Disposal Dip Well Flr/Wst Sink
Dishwasher Drink Ftn Catch Basin
Sump Pump Wait. St. Wash Fm
Ejector/Grind Ice Chest Urinal
Water Softner Exam Sink Gar Dram
Local Waste Sculry Sink Soda Disp
Clothes Wshr Hand Sink Coffee Maker
Bidet F Prep Sink Ice Maker
Beer Tap Serv Sink Site Drain
Classrm Sink Int Grease Trap Roof Dram
Surgeons Sink Ext Grease Trap Standp Rec
Breakrm Sink
Electric Contractor
Use / Nature of Work
Sanitary Sewer
Storm Sewer
Water Service
['-]Electric Installation Verificatidn form attached
(If Replacement)
Size
Material Type # Conn. Type
3/02