HomeMy WebLinkAbout0098548-Plumbing (sinks/faucets)OSHKOSH
ON THE WATER
Job Address 2040 S KOELLER ST
Contractor BENO PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner CDJ JOHNSON FAMILY LTD PARTNERSHIP
Category 440 - Industrial-Interior
Ejector/Grind 0 DipWell 0 F PrepSink __
Water Softner 0 Drink Ftn 0 ServSink
Local Waste 0 Wait. St. 0 Shamp Sink
Clothes Wshr 0 ice Chest 0 FIr/Wst Sink __
Bidet 0 Exam Sink 0 Catch Basin
BeerTap 0 Sculry Sink 0 Wash Ftn
Dent. Oper. 0 Hand Sink 3 Urinal
Lab Sink 0 Plaster Sink 0 Standp Rec __
Sterilizer 0 Surgeons Sink 0 Ice Maker
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 0
Water Heater 0 Sump Pump 0
Site Drain 0 Classrm Sink 0
Roof Drain 0 Breakrm Sink 0
No 98548
Create Date 11/11/2002
Plan
Gar Drain 0
Soda Disp 0
Coffee Maker 0
Int Grease Trap 0
Ext Grease Trap 0
Use/Nature ~,RBY'S/Replace 3 sinks & faucets with new.
of Work
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 $1,000.00 Plan Approval $0.00 Permit Fees $20.00
Issued By
Date 11/11/2002
[] 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 PO BOX 8025 GREEN BAY WI 54308 - 0000 Telephone Number
920-468-4777
Mov 08 02 11:43a
City of Oshkosh
~specrion Seryices Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-505~. 12
Fax: (920) 236-5084~ ~ri: Z
Oshkosh Inspections
920-236-S084
Plumbing
QJ'HKOj'H
ON TH~ \.VATER
I hereby apply for a permit to do and install the followin, g 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
[f vou are a Contractor participating in the Permit Fee Account SE.stem and have adequate funds, check h...ere
if you want this processed through your account ~
Job Address ..... 5, ]~ o ~: b't.- ~ ff~. Value (Including labor ~nd mater/als) / C_90 o, --'
x
Owner /0 D/~5. ~r~,~ ~q~r~ 'Contractor J~ ~/U o
~Single Family
r-]Duplex [--]Multi-Family [--]Rental '~Commercial [--}Industrial
Date
Number of Fixtures:
Bathtub . Lndry Standp Dent. Oper_ Shamp Sink
Whirlpool Disposal Dip Well FIrAVst Sink
Lavatory Dishwasher Drink Fm Catch Basin
Toilet Sump Pump Wait. St. Wash Ftn
Res. Sink Ejector/Grind lce Chest Urinal
Bar Sink Water Sofmer Exam Sink Gar Drain
Water Heater Local Waste Sculry Sink Soda Disp
~ Gas ~ Elect ? PwrVnt Clothes Wshr Hand Sink '~ Coffee Maker
Shower Bidet F Prep Sink Ice Maker
Floor Drain Beer Tap Serv Sink Site Drain
Lndry Tray Classrm Sink Iht Grease Trap Roof' Drain
Lab Sink Surgeons Sink Est Grease Trap Standp Rec
Plaster Sink Breakrm Sink
Sterilizer
Electric Contractor
Use / Nature of Work
[~]Electric Installation Verificatidn form attached
(If Replacement)
Sanitary Sewer
Storm Sewer
Size
Material Type # Conn. Type
Water Service
3/02