HomeMy WebLinkAbout0099509-Plumbing (basement toilet)OSHKOSH
ON THE WATER
.lob Address 1404 TAFT AVE
Contractor GLAZE PLUMBING
Bathtub 0 Shower
Whirlpool 0 Floor Drain
Lavatory 0 Lndry Tray
Toilet 1 Lndry Stndp
Res. Sink 0 Disposal
Bar Sink 0 Dishwasher
Water Heater 0 Sump Pump
Site Drain 0 Classrm Sink
Roof Drain 0 Breakrm Sink
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
No 99509
Owner JEROME/DELORIS GRUNWALD LIFE ESTATE Create Date
Category 410 - Residential-Interior
0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain
0 WaterSoftner 0 Drink Ftn 0 ServSink 0 Soda Disp
0 Local Waste 0 Wait. St. 0 ShampSink 0 Coffee Maker
0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap
0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap
0 Beer Tap 0 SculrySink 0 Wash Ftn 0
0 Dent. Oper. 0 Hand Sink 0 Urinal 0
0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
01/20/2003
Plan
Use/Nature SFR/Replace basement toilet.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$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
$20.00
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 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Plumbing Permit Applicatio A/2 0
I hereby apply £or a perrmt to do and instal! the £oHowm§ plumbing on the pre~et~~j[~[, ~e wod~ to conform to the
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to InsPection Services, POBox 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 {.Hoq -OO~T- ~ v'cT_. Value (Including labor and materials).
Owner ~-eWro~-- ~'~ru4~r~,ds Contractor ~-T~. ~t4-r~
[~Single Family ['-]Duplex [-']Multi-Family ['-]Rental [-]Commercial
Date
[--]Industrial
Number of Fixtures:
Bathtub Lndry Standp Dent. Oper,
Whirlpool Disposal Dip Well
Lavatory Dishwasher Drink Ftn
Toilet { Sump Pump Wait. St.
Res. Sink Ejector/Grind Ice Chest
Bar Sink Water Sofmer Exam Sink
Water Heater Local Waste Sculry Sink
[] Gas E Elect ~ PwrVnt
Clothes Wshr Hand Sink
Shower Bidet F Prep Sink
Floor Drain
-.- Beer Tap Sept' Sink
Lndry Tray Classrm Sink Int Grease Trap
Lab Sink Surgeons Sink Ext Grease Trap
Plaster Sink Breakrm Sink
Sterilizer
Shamp Sink
Flr/Wst Sink
Catch Basin
Wash Ftn
Urinal
Gar Drain
Soda Disp
Coffee Maker
Ice Maker
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