HomeMy WebLinkAbout0098876-PlumbingOSHKOSH
ON THE WATER
,Job Address 2187 W 9TH AVE
Contractor JIM'S PLUMBING
Bathtub 0 Shower
Whirlpool 1 Floor Drain
Lavatory 2 Lndry Tray
Toilet 2 Lndry Stndp
Res. Sink 1 Disposal
Bar Sink 0 Dishwasher
Water Heater 1 Sump Pump
Site Drain 0 Classrm Sink
Roof Drain 0 Breakrm Sink
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner REGISTERED HOMES INC
Category 410 - Residential-Interior
I Ejector/Grind 0 DipWell 0 F Prep Sink 0
0 WaterSoftner 0 Drink Ftn 0 ServSink 0
0 Local Waste 0 Wait. St. 0 Shamp Sink 0
0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0
1 Bidet 0 Exam Sink 0 Catch Basin 0
1 Beer Tap 0 SculrySink 0 Wash Ftn 0
0 Dent. Oper. 0 Hand Sink 0 Urinal 0
0 Lab Sink 0 Plaster Sink 0 StandpRec 0
0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 98876
Create Date 12/03/2002
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap __
Use/Nature
of Work
IOMM
& SFR/Building living quarters over the Hair Salon
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 $5,500.00 Plan Approval $0.00 Permit Fees $60.00
Issued By
Date 12/03/2002
[] Permit Voided
tn 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
12/02/2002 16:23 FAX 920 757
Rpr- 1;~ O~ 0!:
64s2
Oshkosh
920-236-508~
[~}001/001
City of Oshkosh
Inspection Scrvkcs Division
P O Box 1130
O~hkosh, WI 54903-1130
Phone: (920) 236~5050
Fax: (920) 236-5084
Plumbing Permit Application
hereby apply for a permk to do and install tl~e following plumbing on the premises hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, in the p~c£ormance of which aL1 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 t 128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100,00 plus the
normal permit fe~, whioh cv~ is greater.
o1~
[f_v_ou are a contractor partial atinR~ in the Permit Flee ,4ccou .
p ......... nt. System and have gdequate fund~, check
if you .want this plrocesscd through )~our account ~
JobAddress ~/~) ~J- ~-/'~- f/ Value(,~luai~g~o~a~a~t,~a,,, ~.~_~"~O Date
co u-a to
,ingle Family [~]Duplex E]Multi-Family r--lRenta, ,~Commercial l-]Industrial
Number of Fixtures:
Bathtub Ladry Slandp Dent. Oper. - . Sbamp Sink
Whirlpool ~ Disposal Dip %¥¢11 FIr/Wst Sink
~va~ ~_ Ohhwashcr ,, ,~ D~ink Fm ~ Catch Basin
T~l~t ~ Sump Po~ _ Wai~. St, Wash Fm
R~. Sink ~ Ejc~tortGdnd _ _ Icc C~t ~ Urinal
B~ Sink Walct So,nar . . ~am Sink .. Gar D~in
Water H~ter , [ , ~cal W~le S~ul~ Sink
E G~Elect D p~vnt ., Soda Disp
Clothes Wshr Hand Sink Coffee Maker
Shower ] ~;det ....... F Prep Sink ~e Mak~
P~r Drain
ne~ Tap _ S~ Sink Site Dmin
Lndry Trny CI~S~ Sink Iht Oreose Trap ~ ~of Drain
~b Sink Surg~m Sink ~t Gr~s~ T~p , , Standp R~
Pl~t~ Sink Brea~m Sink
Electric Contractor
OR
E-]Electric Installation Verification form attached
(If gepl~ccmen0
Use / Nature of Work.
Sanitary Sewer
Storm
Wa~¢r Sca'ice
Size
Matedal Type # Conn. Type
04/12/2002 PRI 14i04 [TX/RX NO 761'2]
3/02