HomeMy WebLinkAbout2002-Plumbing (lav & toilet)OSHKOSH
ON THE WATER
Job Address 821 RIDGE LN
Contractor GLAZE PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner STEVEN E LEE
Category 410 - Residential-Interior
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Sen/Sink 0
Lavatory 1 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0
Toilet 1 LndryStndp 0 ClothesWshr 0 Ice Chest 0 FIr/Wst 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 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 99252
Create Date 12/31/2002
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap __
Use/Nature ~SFP,/Replace lav& w.c.
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 $750.00 Plan Approval $0.00 Permit Fees $20.00
Issued By
Date
12/31/2002
[] Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
AgentJOwner
Address 1865 JAMES RD OSHKOSH WI 54904 - 6873 Telephone Number
589.4014
Ci~ of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54!;~)Y,-1130
Phone: (920) 236-$050
Fax: (920) 2365084
Plumbing Permit Application
hereby apply' for a permit to do and install
Wisconsin S~atu Plumbing Code, iu thc l~rforn~._uce of which'ail parties hereto agree to and are. hotrod by said statu~es.
Application(s) and fee(s) can be brought to City Hail, Room 205 or mailed to Inspection Services, POBox 1128,
Oshkosh WI $4903-1128, Commencing work wiihouI permit(s) will result in fees being doubled or $100.00 plus the
nora,al p~rnit fcc, which uv~ is
OR
t~ vo~ ar~_a .¢o'ntracta~ p~ticD~atin'~ i~ the_ PerjniLFee_~Icc_oundL SvstenLand~av~ adeo~teLfltnd~ chg~k_Jier¢.
~f,you,,.vaant tbi~ praee.~ed through ya, u-r
~Ugle Family dI)upiex D~ulti-Family r-lRental I-]Commercial Diudustrial
Number of Fixtures:
V~irtpool Disposal Dip W'c~ FIr/Ws! Sink
Lavawry ~ ! Dtshwsshar ~ Drink Fm ~ C~h ~
Toilet ~ Sump Pump Wait. St. Wash Fm
Res. Sink Ejo~tor/Orind km Chest . Uei~al
Bar Sink Water i;ofmet ~ Exam Sink Gar D~ain
Water Heater Loeal Waste ~ Sculry Sink ~ Soda Dtsp
Shower Bidet F Pr~ Sink Ice Maker
Floor Drain - ~- ~ ~ T~ S~rv Sink Si~ Drain
Ludry Tray ,._ Classrm Sink ~ . Iht Grease Trap ~_: Roof Drain
Lab Sink ~ Surgeons Sink _ .. Ext Grease Trap ~ Siandp R~
Plaster Sink
~ Br~krm Sink
Electric Contractor
Use / Nature of Work
Sanitary Sewer
Water Scr~ce
[-}Electric Installation VerificatiOn form attached
(It' R~p~acemem)
/
Mat~ T~ ~ ~ T~
3/02