HomeMy WebLinkAbout0098526-Plumbing (sinks)OSHKOSH
ON THE WATER
Job Address 703 705 N MAIN ST
Contractor KOCH 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 0
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 JEFFREY J/SUE A WICINSKY
Category 440 - Industrial-Interior
Ejector/Grind 0 DipWell 0 F PrepSink 0
Water Softner 0 Drink Ftn 0 Serv Sink 0
LocaIWaste 0 Wait. St. 0 Shamp Sink 0
ClothesWshr 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 3 Urinal 0
Lab Sink 0 Plaster Sink 0 Standp Rec 0
Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 98526
Create Date 11/08/2002
Plan
Gar Drain 0
Soda Disp 0
Coffee Maker 0
Int Grease Trap 0
Ext Grease Trap 0
Use/Nature
of Work
IOMM/705/ Install 1 sink to code compliance & add 2 sinks.
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 $700.00 Plan Approval $0.00 PermitFees $20.00
Issued By
Date 11/08/2002
[] 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 2005 DOTY ST OSHKOSH WI 54901 - 0000 Telephone Number
BUTCH (C)379-8753
City of Oshkosh
Inspection Services Division
P 0 Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
OJ' OJ'H
Plumbing Permit Application
I hereby apply foe a permit to do and install the following pltm~bing on the premises hereinafter descn~ed, the work to conform to the
Wisconsin State Plumbin~ Code, in the performance of which all parties hereto e~ee 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 $4903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus thc
normal permit fee, which ever is greater.
tf yo. u.. are a contractor ~_arti~i~tting in the Permit Fee Account System and hav~..ad~ouate £und~, check h.e~e
i[.¥0~ wQn~ tM~ processed through your account [~
,lob Address '~0~ /k~. ~.t v~.. Value(L~i,~i~l,~o,,,~,~,~l,~ ~l~.~ ....
Owner ~_'~ ~,.¥,?._'.,,.~.',, Contractor [==]~Rental ~Commere~
[~ingle Family f'-]Duplex [--]Multi-Family
Date~
[~]lndustrial
Number of Fixtures:
Balht~b .... Lndry S~andp l~l, Opm'.
Whirlpool Di~posi{ Dip Well
Lav&t~ .... Oi~hwuh~ Dm'ink
Toflct Sump Pump wail, SC
Pi"S. Sink ~ Ejector/Grind Ice Chest
B~ Sink Wntet Softner EXam Sink
Wmer Heater Local W~e Scul~ Sink
m Oas ~ ~lec! L9 PwrVnt Clothes Wmht H~d Sink
*qhowcr Bidet
Floor Drain ~ Tap Scrv Sink
Lndry Tray Class~m Sink Iht Grease Trap
Lab Sink ~ SurBcons Sink ~F, xt Gtusg Trap
Plauer Sink B~,akrm Sink
Stcrilizcr
Shrimp Sink
Flt~/$l Sink
W~h Fm
U~nal
Gar ~in
~ff~ Ma~
~ Mnk~
Si~ ~
R~f ~in
S~p ~t
Electric Contractor
Use / Nature of Work//V~/,~/~-
[~Electrlc lnstaU~tion Verifleati(~n form attaehed
(lt'Rep~emem)
Size
Material
Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water SerV~e