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HomeMy WebLinkAbout2002-PlumbingOSHKOSH ON THE WATER Job Address 2585 VILLAGE LN Contractor GLAZE PLUMBING CITY OF OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD Owner OTTO J / KAREN L SEIFERT Category 410 - Residential-Interior Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Lavatory 1 Lndry Tray 1 Local Waste 0 Wait. St. 0 Shamp Sink 0 Toilet 1 LndryStndp 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 BeerTap 0 SculrySink 0 Wash Ftn 0 Water Heater 0 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 98641 Create Date 11/13/2002 Plan Gar Drain Soda Disp Coffee Maker Int Grease Trap Ext Grease Trap Use/Nature Condo/Install basement lav, WC & LT (drains already roughed-in). of Work Size Material Type # Sanitary Sewer Storm Sewer Water Service Valuation $2,500.00 Plan Approval $0.00 Issued By Conn. Type 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Permit Fees $20.00 Date 11/14/2002 [] 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 1865 JAMES RD OSHKOSH WI 54904 - 6873 Telephone Number 5894014 City of Oshkosh Inspection Services Division P O Box 1130 Oshkosh, WI ~4903-1130 Phone: (920) 236-$050 Fax: (920) 236-5094 © KO. fH OMMUNITY DEVELOPMENT Plumbing Permit Application I hereby apply for a tmmit to do and install dm fo/lowing plumbing on ne premises hereina~r descn'bed, the work to conform to the Wisconsin Slate Plumbing Code, in the performance of which all parties hereto agree to and are. bound by ~aid statutes. Application(s) and fee(s) can be brought to City IIaII, 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 fcc, which ever ia greater. OR If_vo~ ar~_a c~'ntractor ~a~ticivating in the Permit_Fe¢_Account Svsterr~and~a3r~ ~a~ate'fund& cl~'ck here if you vaan, t tl~S~ proee,.vr~,d,,,,thr,Oj4gh ~ouv aCCount N Job Address.._ ~2.ff_SX~ Owner I'tsingle Family [~uplex [~]ladustrial Number of Fixtures: Ba~tub R~, Sink Ilar Sink Water Heater Lndry Smndp Dent. Oper. Shamp Sink Di~pmat .... Dip Wc~ Ftr~ S~k Su~ ~u~ Wai~. St. Wash Fm Ej~t~/Ofinfl 1~ ~t U~t %'a~ So~ Emro S~k ~r ~n L~ W~ Scul~ Sink ~ ~ ~ Bidet F Pr~ Sink lee Mak~ ~ Tap Se~ Sink Site ~m Clasm S~k Iht O~e Trap .... R~f~ ~ Sink ~t Orea~ Trap ~ S~ ~ Br~ Sink Electric Contractor ~ [--]Electric Installation Veriflcatign form at~aehed (If R~laeement) Size Mat~aI ' '~-ype # Conn. Type Sanitary Sewer Water Service 3102