HomeMy WebLinkAbout0099693-Plumbing (remodel)OSHKOSH
ON THE WATER
Job Address 826 BISMARCK AVE
Contractor SOPER PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner KEVIN L/ELAINE SCHOUTEN
Category 410 - Residential-Interior
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F PrepSink 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0
Lavatory I Lndry Tray I LocalWaste 0 Wait. St. 0 Shamp Sink 0
Toilet 1 LndryStndp 0 ClothesWshr 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 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 99693
Create Date 02~05~2003
Plan
Gar Drain 0
Soda Disp 0
Coffee Maker 0
Iht Grease Trap 0
Ext Grease Trap 0
Use/Nature SFR/Remodel
of Work
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
Valuation $2,150.00 Plan Approval $0.00 Permit Fees $20.00
Issued By/
Date 02/05/2003
[] Permit Voided
In the performance o.,o~his work, I agre..~o perform all work pursuant to rules governing the described construction.
Signature~ /~1~/~'- ~..~,~¢,,,~,..-~ Date
,~'" - '-- ~"'~"'~ AgentJOwner
Address 2225 BURNWOOD DR Oshkosh WI 54902 - 0000 Telephone Number
426-2151
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 m fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
It"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 _tyo,,~_t, ~/y~.~¢ Value (Including labor and materials)'~ / ,,~ Date
Owner I~'o!..~t :5'O~,a,~j,"~.'.~r Contractor ..~,a~-~' ,,~"~dot~.t/~.t,,~ ¢
~JSingle Family [--]Duplex I--]Multi-Family [-]Rental [-ICommercial [--Ilndustrial
Number of Fixtures:
Bathtub Lndry Standp Dent. Oper. Shamp Sink
Whirlpool Disposal Dip Well Flr/Wst Sink
Lavatory g Dishwasher Drink Fm Catch Basin
Toilet / Sump Pump Wait. St. Wash Ftn
Res. Sink Ejector/Grind Ice Chest Urinal
Bar Sink Water Softner Exam Sink Gar Drain
Water Heater Local Waste Sculry Sink Soda Disp
-_ Gas £ Elect Q PwrVnt Clothes Wshr Hand Sink Coffee Maker
Shower Bidet F Prep Sink Ice Maker
Floor Drain Beer Tap Serv Sink Site Drain
Lndry Tray [ Classrm Sink lnt Grease Trap Roof Drain
Lab Sink Surgeons Sink Ext Grease Trap Standp Rec
Plaster Sink Breakrm Sink
Sterilizer
Electric Contractor
Use / Nature of Work
Sanitary Sewer
Storm Sewer
Water Service
Size
[~]Eiectric Installation Verificatidn form attached
(If Replacement)
Material Type # Conn. Type
3/02