HomeMy WebLinkAbout0099745 POSHKOSH
ON THE WATER
,Job Address 1720 MENOMINEE DR
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
Owner LOUISE A BALER
Category 410 - Residential-Interior
0 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/Wst 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 99745
Create Date 02/10/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature SFR/Replace 1st floor W.C.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$520.00 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
02/10/2003
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 Divisio~
P O Box 1130
Oshkosh, WI 54903-I 130
Phone: (920) 236-5050
Fax: (920) 236-5084
FEB '/0 2003
Plumbing Permit Application
· Application(s) arid fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Settees, PO Box 1125,
Oshkosh WI 54903-1128, Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal perm/t fcc, wh/ch ever is grcater.
OR
If_volt area ca',trilctor pll_.r_ticivaii_n'~ i~ the_ Pe.r_rnit Fee.~qccourtt_Svster~and..have..adeq~tate'£gnds. ctL~ck~er¢.
["]Industrial
Number of Fixtures:
Baihlub l~dry $~audp ,, Dem. Op~r, ~ Shamp Sink
Whirlpool ....... Disposal ........... Dip Well FIr/War Sink
CamR Basin
Drtn~ Fm
Toilet ~ Sump t~mp Wait. St. Wash
i~ Ch~t Urinal
P~S. Sink. ~ Ej~lu~/Grind
Wa~ Sofm~ ..... Exam Sink ,, Gar Drain
Bar Sink . ~
Wa~n' Heater Local Wasl~ ~ Sculry Sink So6a DiSP
U Oas ~ El~x;I ~ PwrVn~ Cloth~a Wsl~ H~nd Si~k Coffee Maker
Icc Mak6r
!ihov~r Bidet F Pr~p Sink , ,
Site Drain
Floor Drain ~ P~ T~I~ $~r~ Sink
~ Tray Classrm S/~k lm Grease Trap
Lab Sink ~ Surgeons Sink ~ Ext Grease Trap ....... Slandp Rec
Plas~er Sink ~ l~caknn Sink
S~r/tlz~r .......
Electric Contractor
Use 1 Nature of Work
O~ C]Electric Installation VerificatiOn form attached
(If Rgplacement)
Sanitary Sewer
Water Service
Size
Material
Type # Conm Type