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HomeMy WebLinkAbout0099508-PlumbingOSHKOSH ON THE WATER .lob Address 2065 WHITE SWAN DR Contractor GLAZE PLUMBING CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner MICHAEL J/CAROL PRUETT Category 410 - Residential-Interior Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Whirlpool 1 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Lavatory 2 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Toilet 1 Lndry Stndp 0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn 0 Water Heater 1 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 99508 Create Date 01/20/2003 Plan Gar Drain Soda Disp Coffee Maker Int Grease Trap Ext Grease Trap Use/Nature SFR/Remodel bathroom - Install WP, WC, Ped Lav, Lav in basement and replace gas water heater. of Work Valuation Issued By Sanitary Sewer Storm Sewer Water Service Size Material Type # $8,500.00 Plan Approval $0.00 Permit Fees Conn. Type 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 $30.00 Date 01/20/2003 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 1865 JAMES RD OSHKOSH WI 54904 - 6873 Telephone Number 589-4014 City of Oshkosh Inspection Services Division P O Box 1130 Oshkosh, WI 54903-I 130 Phone: (920) 236-5050 Fax: (920) 236-$084 Plumbing Permit ApplicatiortA/ hereby apply for a perr&t to do and/~tall ti= foHow~ ~l~b~g on ~e p~s h~e~~~ m co~o~ ~o ~e Wh~nsin S~ Pl~b~ C~, ~ ~ ~ff~ce of w~ch a~ p~fies ~~~~ sa~ s~. A~li~fion(s) ~d ~(s) c~ be ~ou~t to Ci~ ~all, R~m 205 or m~led to ~s~fion 8~c~, ~ Box 1128, Os~osh ~ 54903-1128. Co--racing work ~out ~it(s) ~11 ~s~t in fees ~g doubled or $1~.00 plus the n~l p~t fee, w~ch ev~ ~ OR I[ van_ ar~a ~'ntract~ p~tici~ating i~ the Pe~m~t~ee~ccou~ Sv~re~nd have a. dea~te_[un~ c~'ckhere Job Address_~!~_~_ ~ a~.o^ ~ Value (hcludingla~ra~dma,~)~ ~ L~Slngle Family-- [~]Duplex DMulti-Family [~]Rental ['-]Commercial [~]Industrial Number of Fixtures: Bathtub Whirlpool Lavatory Toil~t R~. Sink ~w Sink ~ Elect ~ P'wrVnt ~toor Drain __ Lngry Tray ~ Lab Sink Plaster Sink ~ Electric Contractor Use t Nature of Work Sanitary Sewer Storm Sewer SLze Water Service Ln~ir~ S~an~~ P~nt. Op~. Shamp Sink Disposal Dip Well Flr~s~ S~k ~sh~' ~nK Fm ~ Ca~ ~ Su~ Pu~ Wait. St ~ Wash F~ Ej~l~finfl 1~ ~t ~ U~! ~ W~ 8cul~ Sink ~ ~ ~ CIoLh~ Wshr Ha~ Sink Coff~ Mak~ Bidet F Pro Sink , Ic~ M~k~ ~ Tap Se~- Sink Si~ ~ Cias~ S~k ~ In1 ~e Trap P~f ~ ~r~ Sink O~ [-]Electric Instailfition Veriflcati6n form attached (~f ~laeement) Materi~ ' Type-- - ~- Co= Type ~'~ ~.e ~