HomeMy WebLinkAbout0099570-PlumbingOSHKOSH
ON THE WATER
.lob Address 1625 DEERFIELD DR
Contractor JIM'S PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner MICHAEL P FORD/P SCANLAN
Category 410 - Residential-Interior
Bathtub 0 Shower 1 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 Lndry Tray 1 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 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 99570
Create Date 01/17/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature
of Work
Finishing off the basement to include a Family room, office, laundry room and storage area.
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$2,500.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$24.00
Date 01/24/2003
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 W-6166 GREENVILLE DRIVE GREENVILLE WI 54942 - 0000 Telephone Number
757-5258 OR 757-64(
01/23/9`003 17:30 FA~ 99-0 757 6489`
8pr- 12 O2 O1:O2p OshkoSh
JIMS PLUh~ ING
I nspe~t, ion~
820-23~-5084
City of Oshkosh
Inspection Services Division
P 0 Box ll.30
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236.5084
Plumbing Permit Application
OYHKOYH
ON THI~
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 tho 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-I 12g. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If. you are a ¢o~tractor t~artieipa~.(ng in t_he Permit Fee ~ecojt~zt.$vst~m and have adaauare .funds, check hare
if Fou Wq~l~ this processed through yprtr account r~
Owner g~ ~ Contractor ____~t~ ~/~;~
~Single Family ~Duplex ~Multi-Family ~Rental ~Commercial ~lndustrial
Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Toiles
Res. Sink
Bar Sink
~ Gas ~J E~ect 13'~wrV~t
Shower ~ .....
~loor Drain
L~dry T~y ._ _ ~
~bSink
Plaster S{nk .....
S~rilizer
Lndry Standp Deal Oper. Shamp Sink
Disposal .... Dip Well Flr/Wsl Sink
Sump Pump Wail. St, Wash Fin
Ejcct~nd lee Chest ~rinal
WA~r So~ Exam Sink ... ' Gar Drain
~ca] Waste Scul~ Sink Soda Disp
Clothes Wshr Hand Sink Coff~ Muker
Bidot F P~p Sink Ice Maker
Beer Tap .... S~ Sink Site Drain
Claa~ Sink Iht Grease Trap ._ Roof Drain
Surgeons Sink ~xt Grease Trap $tandp Rog
B~a~ Sgnk
Electric Contractor
OR
]'-']Electric Installation Verification form attached
(If Replacemen0
Use / Nature of Work
-qanitaty Sewer
Slorm Sewer
Waler Setwice
Si~e
Material Type # Conn. Type
0~/t--~/2002 FR! 14~04 [TX/RX NO 761'21
3/02