HomeMy WebLinkAbout0099190-PlumbingOSHKOSH
ON THE WATER
,Job Address 3295 ISAAC LN
Contractor SOPER PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner GARRY H DECKER & CO LLC
Category 410 - Residential-Interior
Bathtub I Shower 2 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 0 Floor Drain 1 Water Softner 0 Drink Ftn 0 Serv Sink 0
Lavatory 3 LndryTray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0
Toilet 3 LndryStndp I 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 0
No 99190
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 [NSFR / gas water heater
of Work
1
Valuation $5,800.00
Issued By ~
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 $96.00
[] Permit Voided
Date 12/26/2002
In the performa~ this work, I_agree to perform all work pursuant to rules governing the described construction.
Sig nat u re~~_~;~--~~.....~ Date
~'~ '"""'" -- -'0"'- ~' Agent/Owner
Address 2225 BURNWOOD DR 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 TIlE WATER
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the prerrfises 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
if you want this processed through ¥ou.r account ['~
Job Address ,2~,,~, ~.~'_~".~',,~'d ~ Value (Including labor and mt~als) ~~. ~ Date~~
Owner ~ ~~ Contractor .~~ ~~~
~ingle Family ~Duplex ~Multi-Family ~Rental ~Commercial ~Industrial
Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
· lr~as E Elect __Z PwrVnt
Shower ~.
Floor Drain /'
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Lndry Standp t' Dent. Oper. Shamp Sink
Disposal ~ Dip Well Flr/Wst Sink
Dishwasher I Drink Ftn Catch Basin
Sump Pump [ Wait. St. Wash Fm
Ejector/Grind Ice Chest Urinal
Water Softner Exam Sink Gar Drain
Local Waste Sculry Sink Soda Disp
Clothes Wshr Hand Sink Coffee Maker
Bide! F Prep Sink Ice Maker
.Beer Tap Serv Sink Site Drain
Classrm Sink Int Grease Trap Roof Drain
Surgeons Sink Ext Grease Trap Standp Rec
Breakrm Sink
Electric Contractor
Use / Nature of Work
[-]Electric Installation Verificati6n form attached
(If Replacement)
Size
Material '[ype # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
3/02