HomeMy WebLinkAbout0098810 POSHKOSH
ON THE WATER
Job Address 2720 STONEY BEACH ST
Contractor M P KELLY
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner MR/MRS ROBERT J VOLKMANN
Category 411 - Residential-Water Heaters
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F PrepSink 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0
Lavatory 0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0
Toilet 0 Lndry Stndp 0 Clothes Wshr 0 ice Chest 0 FIr/Wst Sink 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn 0
Water Heater 2 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 98810
Create Date 11/26/2002
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap __
0
0
0
0
0
Use/Nature
of Work
SFR/RePlace 2 gas water heaters.
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 $1,229.00 Plan Approval $0.00 Permit Fees $20.00
Issued By
Date
11/26/2002
[] Permit Voided J
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
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
O/FKO./'H
ON rl4F W^TER
Plumbing Permit Application
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 $100.00 plus the
normal permit fee, which ever is: greater.
OR
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want..this processed through your account ~]
Job Address ~ 7~' ~/-~/3f~.t~~,lt~ (ln¢ludinglaborandmaterial$~_~/m ~; W
Owner / ~ r~~ Contractor ~ P ~//~, /~.
~gle Family ~uplex ~Multi-Family ~Rental ~Commercisl
Number of Fixtures:
Bathtub Lndry Slandp Dent. Oper.
Whirlpool Disposal Dip Well
Lavatory Dishwasher Drink Fm
Toilet Surv~ Pun~ Wait. St.
Rea. Sink Ejector/Grind Ice Chest
Bar Sink Water SoRner Exam Sink
Water Heater ~ Local Waste Sculry Sink
~ D Elect D PwrVnt Clothes Wshr Hand Sink
Shower Bidet F Prep ·Sink
Floor Drain Beer Tap Serv Sink
Lndry Tray Classnn Sink Int Grease Trap
Lab Sink Surse)ns Sink Ext Grease Trap
Plaster Sink Breaknn Sink
Sterilizer
[-=]Industrial
Shnmp Sink
FIt~tst Sink
catch Basin
Wash Fm
Lh'inal
(~' Drain
Soda Disp
Collie Maker
lee Maker
Site Drain
Stamp Eec
Electric Contractor
Si~ Material Type # Conn:,T~YPe
Sanitak--'y Sewer
Storm Sewer
Water Service
O'R [--]Electric Installation Veriflcafl&a form attached
3/02