HomeMy WebLinkAbout0099032-PlumbingOSHKOSH
ON THE WATER
Job Address 160 FARMSTEAD LN
Contractor AHERN-GROSS INC.
Bathtub I Shower
Whirlpool 0 Floor Drain
Lavatory 3 Lndry Tray
Toilet 3 Lndry Stndp
Res. Sink I Disposal
Bar Sink 0 Dishwasher
Water Heater 1 Sump Pump
Site Drain 1 Classrm Sink
Roof Drain 0 Breakrm Sink
CITY OF OSHKOSH No 99032
PLUMBING PERMIT - APPLICATION AND RECORD
Owner US LAND DEVELOPMENT LLC Create Date 12/11/2002
Category 410 - Residential-Interior Plan
2 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain
I WaterSoftner 0 Drink Ftn 0 Serv Sink 0 Soda Disp
0 Local Waste 1 Wait. St. 0 Shamp Sink 0 Coffee Maker
1 Clothes Wshr 1 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap
I Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap __
1 Beer Tap 0 SculrySink 0 Wash Ftn 0
1 Dent. Oper. 0 Hand Sink 0 Urinal 0
0 Lab Sink 0 Plaster Sink 0 StandpRec 1
0 Sterilizer 0 Surgeons Sink 0 Ice Maker I
0
0
0
0
0
ofUse/Nature Work INSFR
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 $7,700.00 Plan Approval $0.00 Permit Fees $126.00
Issued By
[] Permit Voided J
Date
12/11/2002
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 218 S MAIN ST FOND DU LAC WI 54935 - 0000 Telephone Number
920-921-1414
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
ON THE WATER
Plumbin 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 ~bound by said statutes.
Job AddresS }¢0 ~5c~'0~$1c~c~l Value (including labor and materi l~) f~{t~'~ ~_.~''' Date {~-'5~0~-
Owner ~[qo,~c,~s¢. C.,,s toot {4o~g Contractor fg, o-~ -(ocos~n~'~'Y~.
[-]Single Family [--]Duplex [-']Multi-Family [-]Rental ["lCommereial [--llndustrial
Number of Fixtures:
Bathtub [ Sterilizer Breakrm Sink '
Whirlpool Lndry Standp ] Dent. Oper. Shamp Sink
Lavat6ry '; '' ~ Disposal [ Dip Well , Flr/Wst Sink
Toilet, 15 :' i~ ]3 "~' :~'i';'' ~¥:'Bi~h~'e; ": .... : ~,:' :' ':"U-~ ~i Dr? .,~ :~:;!z::>.nk }*tn i ' ";':~?'"..; ...... ~, ~'": '7,"(~'~ ~i; ~,.,i ..... C~tch ..... Basin
Sump Pump
· Bar Sink Ejector/Grind Ice Chest ...... Urinal
Water Heater [ Water Softner Exam Sink Gar Drain
~Gas [5 Electric ~ Local Waste { Sculry Sink Soda Disp
Shower ~}' Clothes Wshr } Hand Sink Coffee Maker
Floor Drain I Bidet F Prep Sink Ice Maker
Lndry Tray Beer Tap Serv Sink Site Drain
Lab Sink Classrm Sink lnt Grease Trap Roof Drain
Plaster Sink Surgeons Sink Ext Grease Trap Standp Rec
Electric Contractor
Use / Nature of Work
[] EIV form attached (If Replacement)
Sanitary Sewer
Size Material Type # Conn. Type
Storm Sewer
Water Service
ApplicatiOn(s) and fee(s) can be brought to City Hall, Room 205 Or mailed to Inspection Services, PO Box 1128, Oshkosh Wl
54903-1128. Commencing wor~', Without permit(s) will result in fees.being doubled or $100.00 plus the normal pe/-mit fee,
which ever is greater.,.
OR
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