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0099446-Plumbing (interior)
OSHKOSH ON THE WATER .lob .Address 3730 PURPLE CREST DR Contractor JIM'S PLUMBING CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner DEWEY HOMES INC Category 410 - Residential-Interior Bathtub 1 Shower 1 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 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Toilet 3 Lndry Stndp 1 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 99446 Create Date 01/14/2003 Plan Gar Drain Soda Disp Coffee Maker Int Grease Trap Ext Grease Trap Use/Nature NSFR/ gas water heater of Work Valuation Issued By Sanitary Sewer Storm Sewer Water Service Size Material Type # $4,300.00 Plan Approval $0.00 Permit Fees Conn. Type 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 $90.00 Date 01/14/2003 Permit Voided In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. Signature Date Agent/Owner Address W-6166 GREENVILLE DRIVE GREENVILLE WI 54942 - 0000 Telephone Number 757-5258 OR 757-64( 01/14/2003 Rpr ! 2 09:18 FAX 920 75'7 6482 02 01;O2p Oshkosh JIM$ P~LUMB !N~ Inspeo~ion~ [~]001/001 p. 1 City of Oshkosh Inspection Scrvicc~ D/vision POBox 1130 Oshkosh, WI $4903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 ©/HKC)_/H ON rHF~ YIATF. II' --- Plumbing Permit Application t hereby apply for a permk to do and install the t:ollowing phtmbing on the premises hereinafter described, ~e ~vork ~o confo~ to ~= Wisconsin State Plu~ing Code, ~ ~, porform~ of whlch all pa~tics hereto agree to and arc bound by said sta~t,s. Applicahon(s) and t~e(s) can be brou~t m Ci~ Hall, Room 205 or mailed to ~spection Sc~ices, PO Box 1128, Oshkosh ~ 54903-I 128. Co~eneing work wi~out pe~it(s) will result in fees being doubled or $100.00 plus ~e nomal pemit fcc, which eva' is ~catcr. OR ~you are a.contractor participating in the Permi~e decou~.t.2ystem and have ~idequate fund~, cgeck h,re ~ you want th~ processed througO your account --- Job Address 5 /..~ f%~ ~'/Dt~ (.c.~/ Value ({ncludinglaborandma~erials)_ ::4 ~,~ Date / / ? JB ~ ~Single Family ~Duplex ~ulH-Famlly ~Rent{1 ~Commercial [-']Industrial Number of Fixtures: Bmhtub / I~[dry Slandp / Dcm. Oper. Sbamp Sink Whirlpool Disposal ·. , / Dip lVell Flr/Wst Sink ~vato~ .~ Dlsh~r / Drink Fin Cinch Basin T~lat ~ _ Sump Pu~ ---/ ._ Wail St, Wa,h Ftn R~. Sink , , ,/ EjcotoffONnd Ice Chest ~ Urinal B~ Sink ~ Wa~t Sofln~ Exam Sink .. ,' Oar Drain ~G~ ~ ~tect ~ P~nt Clothes Wshr ~and Sink Shower [ ..................... Co~oe Maker ~idet r, , , F Prep ~ink [ce Mak=~ Floor Drain ~ Beer Tap So~ Sink Si~ Drain Lnd~y Tr~y Cla~ Sink Iht Orcas~ ~rap Roof D~ln ~b Sink ~ 5u~eons Sink ~xt Grease Trap Standp R~ Pl~ter ~nk greakrm Sink Electric Contractor Use / NatHre of Work OR E~Eiectric Installation Verification form attached (IfReplac~cn~n0 Sanitary Sewer Storm Sewer Wator Sol'vice gize Material Type # Conn. Type 0~')12/2002 FRI 14'04 [TX/RX NO 76121 3/02