HomeMy WebLinkAbout0099176-Plumbing (unit 2)OSHKOSH
ON THE WATER
Job Address 540 JEFFERSON ST
Contractor MIKE'S PLBG & HTG
Bathtub 1 Shower 0
Whirlpool 0 Floor Drain 0
Lavatory I Lndry Tray 0
Toilet 1 Lndry Stndp 0
Res. Sink 0 Disposal 0
Bar Sink 0 Dishwasher 0
Water Heater 0 Sump Pump 0
Site Drain 0 Classrm Sink 0
Roof Drain 0 Breakrm Sink 0
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner BON B/MELANIE A KEOMANY
Category 440 - Industrial-interior
Ejector/Grind 0 DipWell 0 F Prep Sink 0
Water Softner 0 Drink Ftn 0 Serv Sink 0
LocalWaste 0 Wait. St. 0 Shamp Sink 0
CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
Bidet 0 Exam Sink 0 Catch Basin 0
BeerTap 0 SculrySink 0 Wash Ftn 0
Dent. Oper. 0 Hand Sink 0 Urinal 0
Lab Sink 0 Plaster Sink 0 Standp Rec 0
Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 99176
Create Date 12/12/2002
Plan
Gar Drain 0
Soda Disp 0
Coffee Maker 0
Int Grease Trap 0
Ext Grease Trap 0
Use/Nature
of Work
UNIT / Rremodel bathroom within Unit #2
Valuation
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
$2,500.00 Plan Approval $0.00 Permit Fees $20.00
Date 12/23/2002
[] Permit Voided j
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address W2275 STATE HWY 22 PULCIFER WI 54124 - 0000 Telephone Number
715-745-6663
Oshkosh I. nspeo~±ons 920-23'$-5084
City of Osllkosh
In~ection Services Division
P O Box 1130,
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax'. (920) 236-508~
Plumbing Permit Application
I hereby apply for a perafit to do and install the following plumbing on the premises hereinafter described, t.ke work to conform to ~e
Wisconsin State Plumbing Code, in the performance of which all parties hgreto agree to and are.bound by said statures.
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Serviges, PO Box i 128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plas the
normal permit fee, which ever ~s greater,
·
l_ff_vou are a contractor participating in the Permit Fee Account System and have ade. quate funds, check here_
if you want this processed through your account ["-]
- .[ ~ ~ 'Y/L Walile (including tabor and matedal~ Date
Job Address ~'~/£2 _._we~:__ .....
o,.,,. ,'3.,,.,. ,c.,,....-,.,.: co.,r.,,,,: /'2Z:/'""-' :P/& .Ix-&:/,- z'.,., _
r~ Single Family [~[l)~ple~ ~M~lti-Family F-~Rental [~]Commer¢ial F-~l~a~striai
Niu~ ~2 er' 9f F~e$:
[..avatc}ry
Toile~
Res. Sink
Bar Sink
Water Heater
~ C~as: Elect ~ PwrVnt
Shower
Floor Drain
Lndry Tray
~b Sink
Plast~r Sink
Smfilizer
Electric Contractor
Use / Nature of Work
Dent. Oper, Shamp Sink
Lnd~y Standp
Flr/Wst Sink
Dip Well
Disposal
Dishwasher Drink Fm Catch Basin
Wait. S~. Wash
Sump Pu~ ....
~j ¢~or/~nd ice Ch~t'
Ex~ SJnX Oar
S~a Disp
L~al Wa*~e S~ul~ S~nk
Coffee Maker
Clolhe* Wshr Hand Sink -
F Prep Sink lc~ Maker
Site ~in
Scm Sink
Beer Tap
Roof ~ain
Cla~s~ Sink Iht Gr~e Trap ,
~xt G~ase Trap Smndc Rcc
Surg~ns Sink
~reak~ Sink -
[-~Electric Installation Verificatidn form attached
(lf R~iacemenl)
-'- CO~. Type
S4e. Material Type #
Sanitary Sewer
Si6~' ~wer ..... ~::"~' "' , -' ~ :.:: ......
c. ',;~'
I Wate~-Sc~ice , ,