HomeMy WebLinkAbout0099192-Plumbing (basement)OSHKOSH
ON THE WATER
.lob Address 1806 DOEMEL ST
Contractor SOPER PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner JOHN S N ZARBANO/MERLAINE A A
Category 410 - Residentialqnterior
Bathtub 0 Shower 1 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 ServSink 0
Lavatory 1 LndryTray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0
Toilet 1 LndryStndp 0 ClothesWshr 0 Ice Chest 0 FIrRVst 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 99192
Create Date 12/26/2002
Plan
Gar Drain 0
Soda Disp 0
Coffee Maker 0
Int Grease Trap 0
Ext Grease Trap 0
Use/Nature JSFR/remodel
of Work
Valuation $2,000.00
Issued By j
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
Plan Approval $0.00 Permit Fees $20.00
Date 12/26/2002
[] Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
SignaturL~~ ~ Date
f" -- -- (J~ -- Agent/Owner
Address 2225 BURNWOOD DP. Oshkosh WI 54902 - 0000 Telephone Number
426-2151
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
O/HKO/H
ON THE WATER
Plumbing Permit Application
I hereby apply for a permit to do and install the following 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
(f vou want this processed through your account ~
Job Address ,6t9.~
Owner ~:~_.~tf
~ingle Family [-"]Duplex
Value (Including labor and materials) ~_~g~. ~:~ Date/'~ ~'g~'&.
Contractor ~_.o~. ~r~,~.~~ ~
[-]Multi-Family [-']Rental [--]Commercial ["-]industrial
Number of Fixtures:
Bathtub Lndry Standp
Whirlpool Disposal
Lavatory / ~ Dishwasher
Toilet I .J~ Sump Pump
Res. Sink Ejector/Grind
Bar Sink Water Sofmer
Water Heater Local Waste
Q Gas E Elect ~ PwrVnt Clothes Wshr
Shower I J~ Bidet
Floor Drain Beer Tap
Lndry Tray Classrm Sink
Lab Sink Surgeons Sink
Plaster Sink Breakrm Sink
Sterilizer
Dent. Oper. Shamp Sink
Dip Well Flr/Wst Sink
Drink Ftn Catch Basin
Wait. St. Wash Fin
Ice Chest Urinal
Exam Sink Gar Drain
Sculry Sink Soda Disp
Hand Sink Coffee Maker
F Prep Sink Ice Maker
Serv Sink Site Drain
Int Grease Trap Roof Drain
Ext Grease Trap Standp Rec
Electric Contractor O'R
Use / NatUre of Work~
~-']Electric Installation Verificatidn form attached
(If Replacement)
Sanitary Sewer
Size Material Type
# Conn. Type
Storm Sewer
Water Service
3/02