HomeMy WebLinkAbout0099078-PlumbingOSHKOSH
ON THE WATER
.lob Address 1041 JEFFERSON ST
Contractor JIM'S PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner ADRIAN/GRETCHEN WANEK
Category 410 - Residential-lnted°r
Bathtub 0 Shower 1 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 1 Floor Drain 0 Water Softner 0 Drink Ftn 0 ServSink 0
Lavatory 1 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0
Toilet 1 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst 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 I 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 99078
Create Date 12/03/2002
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap __
0
0
0
0
0
Use/Nature [RES/Remodel bathroom.
I
of Work
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 $4,000.00 Plan Approval $0.00 Permit Fees $30.00
Issued By
Date 12/13/2002
[] 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
GREENVILLE WI 54942 - 0000 Telephone Number
Address W-6166 GREENVILLE DRIVE 757-5258 OR 757-64
12/13/2002 12:14 FAX 920 757 6482 JIMS PLUMING
FIpr 1;E OP Ol:02p OshkOsh Inspect, ions
~0-~3~-508~
[~001/001
p.1
City o£Oshkosh
Inspection Services Division
P 0 Box 1130
Oshkosh, WI $4903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Plumbing Permit Application
hereby apply for a p~mit to do and instaIl the following pIumbing on the premises h0reinafter 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
normal perm£t fee, which ever is greater.
OR
If you are a contractor participati.nf~ in the Permit Pge dccount SVstem and hqve adequate f~tnds, check hare
ff .~ottI )sa. at th, is processed through 9our aCqO~nt ~g~ ..........
Job Address /04.//// _~J~4.$0,~,/ f/Vahle(Ineludinglaborandmater~als).~4'//000 Date/?--//$,~--
Owner ~o~'~J f~'~-~- ~-~.,~/~ Contractor
~Single Family F-~Duplex F-]Multi-Family
Number of Fixtures:
Bathtub
L~va~o~d
Toilet
R~. Sink
Bar Sink
Water Hra~tcr
'E Gas D Elect B PwrVnt
Shower ]
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink ~
Sterilizer
["1Rental r-lC°mm r¢iR E D
DEC 1 5 2002_
Imdry Stundp Dent. Oper. Shamp Sink
Dishwasher Drink Fin , , Cai
Ejcc(or/O~nd icc Chest Urinal , ,
Wat~ Sofln~r Exam Sink Gar Drain
~cn} Wasl~ ScuI~ Sink ., S~a Di~ _
CtoCes Wshr Mand Sink Co flea Maker
Bidet F Prep Sink lee ~lakcr
B~ Tap . Se~ SinR Site Drain
C~s$~ Sink Iht Gr~ T~p R~f Dram
Surgeons Sink ~t Gr~se Trap Standp Rec ~
~akrm Sink .....
Electric Contractor
OR
[-']Electric Installation Verification form attached
CIf Replacement)
Use I Nature of Work
Sm~tary Sewer
Water Service
Size
Material Type #
I
Conn. Type !
04/12/2002 FRI /4~04 [~X)RX-'NO 761'21