HomeMy WebLinkAbout0098811 POSHKOSH
ON THE WATER
.lob Address 632 MONROE ST
Contractor M P KELLY
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner DOROTHY M HOXTELL
Category 411 - Residential-Water Heaters
0 Shower 0 Ejector/Grind 0 Dip Well
0 Floor Drain 0 Water Softner 0 Drink Ftn
0 Lndry Tray 0 Local Waste 0 Wait. St.
0 LndryStndp 0 ClothesWshr 0 Ica Chest
0 DispOsal 0 Bidet 0 Exam Sink
0 Dishwasher 0 BeerTap 0 SculrySink
1 Sump Pump 0 Dent. Oper. 0 Hand Sink
0 Classrm Sink 0 Lab Sink 0 Plaster Sink
0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink __
0 F Prep Sink
0 Serv Sink
0 ShampSink
0 FIr/Wst Sink
0 Catch Basin
0 Wash Ftn
0 Urinal
0 Standp Rec
0 Ice Maker
No 98811
Create Date
Plan
11/26/2002
0
0
0
0
0
0
0
0
0
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
ExtGrease Trap __
0
O~
0
0
0
Use/Nature SFR/Replace gas water heater.
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 $527.00 Plan Approval $0.00 Permit Fees $20.00
Issued By
[] Permit Voided
Date
11/26/2002
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
AgentJOwner
Address 665 N MAIN ST OSHKOSH WI 54901 -4431 Telephone Number
231-1750
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
RECEIVED
NOV 2 5
DEPAIRTN ENT OF.
Plumbing Permit Application
OJ'HKO/H
ON ?HF ~^TER
I hereby apply for a permit to do and install the followi.ng 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 SI, stem and have adequate funds, check here
if you want this processed through Four account [-]
,lob Address ~__a3~ /~a','ff'qO~ Value (Including laborand materials}_..~.:~ 7,~ ~0
~ Family · ['-]Duplex [--[Multi-Family ['-]Rental [--]Commercial [-']Industrial
Number of Fixtures:
Bathtub Lndry Standp Dent. Oper.
Whirlpool Disposal Dip Well
Lavatory Dishwasher Drink Fin
Toilet Sump Pump Wait. St.
Res. Sink Ejector/Grind ice Chest
Bar Sink Water Softner Exam Sink
Water Heater / Local Waste Sculry Sink
~ms D Elect ~ PwrVnt Clothes Wshr Hand Sink
Show~' Bidet F Prep Sink
Floor Drain Beet Tap Serv Sink
Lndry Tray Classrm Sink Int Grease Trap
Lab Sink Surs~ns Sink Ext Grease Trap
Plaster Sink Breakrm Sink
Sterilizer
Electric Contractor O'R
Use / Nature of Work /~~ fff ~ff
Size Material 0 Type
Sanitary Sewer
Storm Sewer
Water Service
Shan~ Sink
Flr/Wst Sink
Catch Basin
Wash Fm
Urinal
Om, Drain
Co~ Mak~
I~ :Mak~
Sim ~
Rmf ~in
S~ R~
[--]Eiectric Installation Veriflcatlgn form attached
D/acement)
# Conn. Type
3/02