HomeMy WebLinkAbout0099579 POSHKOSH
ON THE WATER
.lob Address 1253 W SOUTH PARKAVE
Contractor KOCH PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner NORMAN R BOCK
Category 402 - Residential-Exterior (other)
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 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 99579
Create Date 01/13/2003
Plan
Gar Drain 0
Soda Disp 0
Coffee Maker 0
Int Grease Trap 0
Ext Grease Trap 0
Use/Nature
of Work
SFR/ Razing single family dwelling and detached garage. Sewer and water shall be properly disconnected at the property line. The site shall be
free of debr s and eve upon comp et on.
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
Lateral
.75 Lateral
$125.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
1 Aband
0
0
0
0
0
0
0
0
0
1 Aband
0
0
$50.00
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 2005 DOTY ST OSHKOSH WI 54901 - 0000 Telephone Number
BUTCH (C)379-8753
01/15/2003 08:19 9202350282
Ci~, of Os~osh
Inspection Services Division
P O Box 1130
Os~h, WI 54~3-1130
~ax: (920) 236-~08~
KOCH PLUM]3ING INC
PAGE 01
OSHK07'
Plumbing Permit Application
I hereby apply for a permit to do nad imtal! the folloWM~ plumbing on the premises hereinafter described, thc work to conform to the
Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to nad are,bound by said statutes,
Application(s) and fee(s) cnn be brousht to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128- Commencmg work without permit(s) will result in fees being doubled or $100.00 plus the
norma] permit fee, which ever is great~.
OR
]f you are a contractor ~artfcipatinlr_ in the Permi~ee Account S_Fstern. and hove adeat~gte funds, cAeck
if roll, ~,anl t}~is,,l~r~e$$e~.~_hroulth vou-r account ?
E~l~er /~_~ ~=' Contractor .~~'~//~~'/~'~:~-~',.
[~ingle Family ['"]Duplex [--]Multi-Family n-]Rental f-JCommercial ['=*]Industrial
Number of Fixtures:
Bathtub 1.ndry Standp , Dent. Oper. , ,.. Sha~ Sink
~vnt~ ~shw~ -- ~nk FM ~h
Toil~ ...... Su~ Pu~ Wait. St. , ..... Wa~ Fm
~s. Sink Ejcmor/~nd Icc Chcsl Urinal
Bar Sink ~ Wolff S~ E~m Sink _ Gar
Wa~ H~tcr ~ ~1 W~c Scul~ Sink , S~
~ G~ ~' EI~ = P~Vnt CI~m Ws~ H~nd Sink Coff~ M~
~r Bidet F ~ Si~ lee M~k~
FI~ ~ain ~ Be~ Tap S~ Sink ~he
~b Sink S~ Sink Ext ~a~ Top S~dp
Electric Contractor
Use / Nature of Work...
~lectHe Installation VerificatiOn form affacbed
(If gOla~ement)
Sanitary S~wcr
Size Material Type # Conn. Type
Sto~ Sewer