HomeMy WebLinkAbout0099752 POSHKOSH
ON THE WATER
,Job Address 1350 MENOMINEE DR
Contractor M P KELLY
Bathtub 0 Shower
Whirlpool 0 Floor Drain
Lavatory 0 Lndry Tray
Toilet 0 Lndry Stndp
Res. Sink 0 Disposal
Bar Sink 0 Dishwasher
Water Heater 1 Sump Pump
Site Drain 0 Classrm Sink
Roof Drain 0 Breakrm Sink
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner PAMELA M KIMBERLY
Category 411 - Residential-Water Heaters
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 99752
Create Date 02/10/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature SFR/Replace gas water heater.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$469.00 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 665 N MAIN ST OSHKOSH WI 54901 - 4431 Telephone Number
231-1750
Ci~/of Oshkosh
Inspection Services Division
P O Box 1130.
Oshkosh, WI $4903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
RECEIVED
FEB 1 0 2OO3
DEPARTMENT OF
¢O~UN~TY DEVELOPMENT
Plumbing Permit Application
OYHKO/H
ON Tl.~g WATFI~
I hereby apply for a permit to do and install the following plumbtng on the prenuses hereinafter described, the work to conform to thc
Wisconsin State Plumbing Code, in the performance~ of which all parties hereto agree to and arc 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 $4903-1128. Corr... encing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fcc, which ever is greater.
OR
If you are,.,a,.C,o, ntractor participating in the Permit Fee .4ccount System and have adequate funds, cAeck here
ff ~o.u want this, processed throueh your account ["]
· . - -, .....
~i~le ~amlly i--IDuplex I--1Mult,-ramay I--IRenta~ l-lcommer¢ial .' r'llnd.~mai
Number of FlxtuFes:
BttMub Lfldry St~ndp De~t. 09¢r.
~1 ~I Dip Well
T~I~ Su~ Pu~ Wait. Si.
R,. SMk Ej~nd Ice Ch~t
Bw S~k , Ws~ ~ Ex=m Sink
S~ ' g~ F P~ Sink
~ ~in ' ' ' ~ Tip S~ Sink
~ T~y ' ' ' ~ Sink Im G~se Trap
bb Sink
,, S~s Sink Ext ~se Trip
~ SMk ~ Sink
S~lJ~
Electric Contractor
Use / Nature of Work
Sanitary Sewer.
S~n Sew~
Water Service
Size
Material
O'R ['-]Electric Installation VerificatiOn form attached
(If Replacement)
Type # Conn. Type