HomeMy WebLinkAbout0099426-Plumbing (interior)OSHKOSH
ON THE WATER
.lob.Address 4065 SHARRATT DR
Contractor JIM'S PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner FOX CITIES CONSTRUCTION
Category 410 - Residential-Interior
Bathtub 1 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 1 Floor Drain 1 Water Softner 0 Drink Ftn 0 Serv Sink 0
Lavatory 4 Lndry Tray 1 LocaIWaste 0 Wait. St. 0 Shamp Sink 0
Toilet 3 Lndry Stndp 1 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
Res. Sink 1 Disposal 1 Bidet 0 Exam Sink 0 Catch Basin 0
Bar Sink 0 Dishwasher 1 Beer Tap 0 SculrySink 0 Wash Ftn 0
Water Heater 1 Sump Pump 1 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 1
No 99426
Create Date 10/29/2002
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$9,000.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$108.00
Date 01/13/2003
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address W-6166 GREENVILLE DRIVE GREENVILLE WI 54942 - 0000 Telephone Number
757-5258 OR 757-64(
01/13/2003 09:10 FAX 920 757 6482
Jills PLUMBING
Inspeotions
9P0-236-5084
~]001/001
p.1
City of Oshkosh
Insl.~ction Services Division
POBox 1130
Oshkosh, WI $4903-1130
Phone: (920) 236-$050
Fax: (920) 236-3084
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premises her,inafter described, the woxk to conform to th,
Wisconsin State Plumbing Cod~, in tho performance of which all parties hereto agree to and are bound by said statutes.
Application(s) and tee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-I 128. Commencing work wiflmut permit{s) will rosult in fees being doubled or $100,00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor p~rtic~ting in the Permit ~'ee ~fccouot System and have ad. equate f~tt~d,~, checl~
you want this prOCessed through ?our account ..,~
Owner .?.~×. ~'~ ~~J~-' Contractor ~;-~,~
~.,Stngle Family [~Duplex n]Muifl-Family [~Rental
E-]Commercial
[~]Industrial
Number of Fixtures:
Bathtub ... / Lndry Slandp I De~lt. Open
Wllirlpool ~ Disposal ~ Dip Well
~avato~ .~_. Dishwasher j Drink i:111
Toilet ~. Samp Pump ~ __ [ ~ _. Wail. St.
~s. Sink / Ejc~tor/G~nd _ = Ice Chest
Bar Sink Waler 5oflncr ...... Exam Sink
Water Heater J Loc~I W~sle ....... Scul~ Sink
~Oas 2 Elect ~ P~wVnt CI0them Wshr , .. Hand Sink
Sho~r ~{dct F Prep Sink
Floor D~in "' ~ .... Beer Tap __ S~ Sink
Lndry Truy ] Class~ S~nk l~t O~eas= Trap
~b Sink Surgeuns Sink Ext O~as= Trap
Plaster Sink Breakrm S~k
Sterilizer
Electric Contractor
Use / Nature of Work
Shnmp Sink
Flr/Wst Sink
Cinch B~sin
Wo~h Ftlt
Urinal
O~r Drain
Soda DIsp
Coffee Maker
lee 1~{ mk~r
Site Drain
Roof Drain
StaM~ R~
[~l~.lectric Installation Verification form attached
(If Replacement)
Sanitary Sewer
Size
Material Type #
Conn. Type
Wator Sel'vic~
04/12/2002 FRI 14i04 [TX/RX NO 7612]
3/02