HomeMy WebLinkAbout0098896 POSHKOSH
ON THE WATER
Job Address 1301 E MURDOCK AVE
Contractor JNL PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner
Category
MR/MRS LOWELL H LOUIS
410 - Residential-Interior
Bathtub 1 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0
Lavatory 1 LndryTray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0
Toilet I LndryStndp 0 Clothes Wshr 0 Ice Chest 0 FIrNVst Sink 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0
BarSink 0 Dishwasher 0 BeerTap 0 SculrySink 0 Wash Ftn 0
Water Heater 0 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 ~terilizer 0 Surgeons Sink 0 Ice Maker 0
No 98896
Create Date 10/15/2002
Plan
Gar Drain 0
Soda Disp 0
Coffee Maker 0
Int Grease Trap 0
Ext Grease Trap 0
Use/Nature
of Work
IFR/
remodel addition to house
Sanitary Sewer
Storm Sewer
Water Service
Valuation ~////~. ,500.00
Issued By~ ~,._~_~ ~
Size Material Type #
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$0.00 Permit Fees $20.00
[] Permit Voided
Date 12/04/2002
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction,
Signature Date
Agent/Owner
Address 1570 N OAKWOOD RD Oshkosh WI 54904 - 0000 Telephone Number
233-2661
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 THE WATER
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premises 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 Vou.r account [']
Job Address \SC)/ '~" ['Y~L~00c~,_~ Value (Incmding labor and mat~als) ,/~
Contractor
Owner
[--]Single Family [-']Duplex [-]Multi-Family [-']Rental [--]Commercial
Date
[--]Industrial
Number of Fixtures:
Bathtub ] Lndry Standp Dent. Oper.
Whirlpool Disposal Dip Well
Lavatory j Dishwasher Drink Ftn
Toilet ] Sump Pump Wait. St.
Res. Sink Ejector/Grind Ice Chest
Bar Sink Water Softner Exam Sink
Water Heater Local Waste Sculry Sink
L Gas E Elect ,Z' PwrVnt Clothes Wshr Hand Sink
Shower Bidet F Prep Sink
Floor Drain Beer Tap Serv Sink
Lndry Tray Classrm Sink lnt Grease Trap
Lab Sink Surgeons Sink Ext Grease Trap
Plaster Sink Breakrm Sink
Sterilizer
Shamp Sink
FlrAVst Sink
Catch Basin
Wash Ftn
Urinal
Gar Drain
Soda Disp
Coffee Maker
lce Mak6r
Site Drain
Roof Drain
Standp Rec
Electric Contractor
Use / Nature of Work
[--[Electric Installation Verificati6n form attached
(If Replacement)
Sanitary Sewer
Size
Material
Type
Conn. Type
Storm Sewer
Water Service
3/02