HomeMy WebLinkAbout0099222-PlumbingOSHKOSH
ON THE WATER
Job Address 1508-1530 S KOELLER ST
Contractor JIM'S PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner MENARD INC
Category 440 - Industrial-Interior
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 1 Sen/Sink
Lavatory 3 Lndry Tray 1 Local Waste 0 Wait. St. 0 Shamp Sink __
Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink __
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin __
BarSink 0 Dishwasher 0 BeerTap 0 SculrySink 0 Wash Ftn
Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker
No 99222
Create Date 12/30/2002
Plan
Gar Drain 0
Soda Disp 0
Coffee Maker 0
Int Grease Trap 0
Ext Grease Trap 0
Use/Nature ~COMM/1528/ BIG LOTS/Interior plumbing work.
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 12/30/2002
[] 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
12/30/2002 09:09 FAX 920
Rpr' 1;~ 0~' O1:
757 6482
JIMS PLUMBING
Inspeo~ion~
~0-~36-5084
~001/002
p.l
City of Oshkosh
Inspection Services Division
P 0 Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
lax: (920) 236-5094
.fHKOJ'H
WATER
Plumbing Permit Application
I hereby apply for a pen'nit to do and install the following plumbing on the premises hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, in the per£orrnanc¢ of which all parties hereto agree to and are bound by said statutes.
* Application(s) and fcc(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commenoing work without permit(s) will result in fees being doubled or $100,00 plus the
normal permit fee, whioh ever is greater.
OR
If you ,are a contractor, parti~ipatin, g in the Permi~,.~e.e ACcOunt $¥~te~ and have ad. equate funds check here,
if ~ou want thff processed throutn your account ~ -
/ ~ f' ~. .. , : - ~/,
Owner ~"';.%s,' Contractor -.f~'r ~ ,~ ~/gt.~ ~ ~.~-/%~.~ aa~-g,
a- . . '-' /4;'. '
F'-lff;ingle Family F"]Duplex nlMulti-Fam, ly [-]Rental ,~Commerc, al n']Industrial
Number of Fixtures:
Bathtub Lndry .~tandp Dent. Oper. Shamp S;nk
t,Vhirlpool Disposal Dip Well FlffWs! Sink
~vato~ ~ Dish~sher Drink Fin / Catch ~asin
Toil~t Sump P~p Waic 81. Wash ~n
Res. Sink Ejector/Grind Ice Chest Uri~l
B~r Sink Walc~ SoRter Exam Sink Gar Drain
Water Heater L~al W~lo Scul~ Sink . Sod~ Disp
'E G~ ~ Ei~t ~ P~Vnt CIo~es Wshr ~ Rand Sink Coff~ M=ker
Shower Bider F Prep Sink Ice Mak~
Floor D~in B~r Tap ge~ Sink ~ite Drain
~dry T~y - [ Cla~ Sink Iht Gr~se Teap g~of Drain
~b Sink Su~ns Sink Ext Grease T~p Slan~ R~
Pl~ter Si~ Break~ Sink
Stcfillzcr
Electric Contractor
Use / Nature of Work ....
,OR
[-']Electric Installation Verification form attached
(If ReplamtrnenO
Sanitary Sewer
Storm ~ewer
Water Service
Size Material Type # Conn. Type
04/12/2002 FRI 14i04 [TX/RX NO 761'2]
3/02