HomeMy WebLinkAbout0099468-PlumbingOSHKOSH
ON THE WATER
.lob Address 256 W 17TH AVE
Contractor MS PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner SYNDA J JONES
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 Serv Sink 0
Lavatory 0 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0
Toilet 0 Lndry Stndp 0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
Res. Sink 1 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0
Bar Sink 0 Dishwasher 1 Beer Tap 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 99468
Create Date 01/14/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature SFR/Remodeling the kitchen, installing new cabinets and countertop.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$400.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$20.00
Date
01/16/2003
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 3660 CTY RD FF OMRO WI 54963 - 0000 Telephone Number
920-685-0473
OSHKOSH
ON THE WATER
Job Address 256 W 17TH AVE
Contractor MS PLUMBING
CITY OF~OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner SYNDA J JONES
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 Serv Sink 0
Lavatory 0 LndryTray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0
Toilet 0 LndryStndp 0 ClothesWshr 0 Ice Chest 0 FIr/VVst Sink 0
Res. Sink 1 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0
BarSink 0 Dishwasher I 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 99468
Create Date 01/14/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Iht Grease Trap
Ext Grease Trap
Use/Nature SFR/Remodeling the kitchen, installing new cabinets and countertop.
of Work
Valuation $400.00
Issued B~
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
Plan Approval $0.00 Permit Fees $20.00
Date 01116/2003
[] Permit Voided
in the perfor~ ~ w?~ perf°rz all w°rk pursuant t° rules g°verning the described c°nstructi°n'
/ //f Agent/Owner
Address 3660 CT¥ R '~FF OMRO WI 54963 - 0000 Telephone Number
920-685-0473
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 your account
Job Address ~,~--/o q) /~ T'k
Owner ~_~ ~c//~ ~ A~ e5
~ingle Family ]--]Duplex
Value (In¢luding labor and materials). ~00. ~ Date/.-/~'-Ofl
Contractor w, I
[-]Multi-Family [--]Rental [-']Commercial ~]Industrial
Number of Fixtures:
Bathtub Lndry Standp
Whirlpool Disposal
Lavatory Dishwasher
Toilet Sump Pump
-'C _
Res. Sink o~ Ejector/Grind
Bar Sink Water Softner
Water Heater Local Waste
~ Gas ~D Elect ~ PwrVnt Clothes Wshr
Shower Bidet
Floor Drain Beer Tap
Lndry Tray Classrm Sink
Lab Sink
Surgeons Sink
Plaster Sink
Breakrm Sink
Sterilizer
Dent. Oper. Sham? Sink
Dip Well Flr/Wst Sink
Drink Ftn Catch Basin
Wait. St. Wash Ftn
Ice Chest Urinal
Exam Sink Gar Drain
Sculry Sink Soda Disp
Hand Sink Coffee Maker
F Prep Sink Ice Maker
Serv Sink Site [~ain
Int Grease Trap Roof Drain
Ext Grease Trap Standp Rec
Electric Contractor
Use / Nature of Work
[-']Electric Installation Verificatidn form attached
(If Replacement)
Sanitary Sewer
Storm Sewer
Water Service
Size
Material
Type
# Conn. Type
3/02