HomeMy WebLinkAbout0099694-Plumbing (fixtures)OSHKOSH
ON THE WATER
.lob Address 46 W 12TH AVE
Contractor SOPER 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
Owner GREGORY KTAGATZ
Category 410 - Residential-Interior
1 Ejector/Grind 0 Dip Well 0 F Prep Sink 0
0 WaterSoftner 0 Drink Ftn 0 ServSink 0
0 Local Waste 0 Wait. St. 0 ShampSink 0
0 CIothesWshr 0 Ice Chest 0 FIr/I/Vst Sink 0
0 Bidet 0 Exam Sink 0 Catch Basin 0
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
No 99694
Create Date 02/05/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature SFR/Replace fixtures
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$2,000.00 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
02/05/2003
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 2225 BURNWOOD DR Oshkosh WI 54902 - 0000 Telephone Number
426-2151
OSHKOSH
ON THE WATER
Job Address 46 W 12TH AVE
Contractor SOPER PLUMBING
CIT~Y:oF ~SHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner GREGORY K TAGATZ
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 0 LndryTray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0
Toilet 1 LndryStndp 0 Clothes Wshr 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 99694
Create Date 02/05/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Iht Grease Trap
Ext Grease Trap
Use/Nature SFR/Replace fixtures
of Work
Valuation
Issued By/
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
$2,000.00 Plan Approval $0.00 Permit Fees $20.00
Date 02~05/2003
[] Permit Voided
In the performance of~l~is work, I agree to perform all work pursuant to rules governing the described construction.
S i g n at u r~.~.~~ _~..._.._. Date
Agent/Owner
Address 2225 BURNWOOD DR Oshkosh WI 54902 - 0000 Telephone Number
426-2151
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, Wl 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
O/HKO/H
ON TH~: WATFR
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 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
3ob Address 6/~/ ~,/'~,lr/d Value (lncluding labor and materials) ~~ Date
Owner .._/""~/.~,~ _~?~'z Contractor ~"~/~'~.n.t~,.~ ~
~'Single Family ['-[Duplex [--]Multi-Family [--]Rental ['-]Commercial [-]Industrial
Number of Fixtures:
Bathtub Lndry Standp Dent. Oper. Shamp Sink
Whirlpool Disposal Dip Well Flr/Wst Sink
Lavatory Dishwasher Drink Ftn 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 Scurfy Sink Soda Disp
5 Gas E Elect 2 PwrVnt Clothes Wshr Hand Sink Coffee Maker
Shower tt Bidet F Prep Sink Ice Maker
Floor Drain Beer Tap Serv Sink Site Drain
Lndry Tray Classrrn Sink Int Grease Trap Roof Drain
Lab Sink Surgeons Sink Ext Grease Trap Standp Rec
Plaster Sink Breakrm Sink
Sterilizer
Electric Contractor
I~Electric Installation Verificati6n form attached
(If Replacement)
Use / Nature of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
3/02