HomeMy WebLinkAbout0099859-PlumbingOSHKOSH
ON THE WATER
,Job Address 547 EVANS ST
Contractor JIM'S PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner MARK P/SHARON RADLEY
Category 410 - Residential-Interior
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 0 Floor Drain 0 Water Soffner 0 Drink Ftn 0 Serv Sink 0
Lavatory 0 Lndry Tray 0 LocalWaste 0 Wait. St. 0 Shamp Sink 0
Toilet 0 Lndry Stndp 0 ClothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
Res. Sink 1 Disposal 1 Bidet 0 Exam Sink 0 Catch Basin 0
Bar Sink 0 Dishwasher 1 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 99859
Create Date 02/11/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature Remodeling kitchen.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$1,250.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$20.00
Date 02/18/2003
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address W-6166 GREENVILLE DRIVE GREENVILLE WI 54942 - 0000 Telephone Number
757-5258 OR 757-64(
02/17/2003 16:38 FAX 920 757 6482
19pr 1~ 02 Ol:O~p Oshkosh
Jills PLUMBING
Inspeo~,i ons
9~0-~36-5084
~001/002
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1 t30
Phone: (920) 236-5050
Fax: (920) 236-5084
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to coliform to the
Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are bound by said statutes.
· Application(s) and i'¢¢($) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1125. Commencing work without permit(s) ~vill result in fees being doubled or $I00.00 plus the
normal permit fee, which ever is greater.
OR
If.you are .a contractor part~ipa~tlng in the Permil Fee ~¢¢ount System and hqve adequate funds, check here
~f ¥ou want this z~rocessed through your account [~ ''
Jobnddress., ~',~ ~/v~A~ f/ Value([n¢~.~ins~abor~.~m~i*~s> ~/L~TJ Date, Z/~/'?/~
Owner .~c,~:'~ ~,~?. Contractor ~-: ?-~
~,f/.~Single Family ~Duplex ~Mult~Family ~Rental
Number of Fixtures:
Bathtub ~d~ Stamp Dc~. Opc~.
Whirt~ol Disposal { Dip Wcl~
~vato~ ~sh~shar t Drink Ftt*
'roii~t Sump Pump Wait. SC
Res. Sink [ Ejects/Grind Ice C~$t
Bar Sink Waler Soflncr _ , ~am Sink
Water H~ter Local Waste ScuI~ Sink
2 Gas '~ Elect 0 P~Vnt Clothes Wshr Maud Sink
Showar ~idet F Prep Sink
Flor Drain Beer Tap Se~ Sink
Ladry T~y ClasS~ Sink Iht Grease Trap
~b S~k Surgeons Sink ~t Gr~se Trap
Pl~ler S;nk . Breakrm Sink
Sterilizer
[-']Commercial [-']Industrial
SI)amp Sink
FIr/Wst Sink
Caleb Basin
Wash Fm
Urinal
Gar Drain
Soda Disp
C offe, e Makor
icc Maker
Site Drain
Roof Drain
Srandp Ret
Electric Contractor
OR
[--]Electric Installation Verification form attached
(If Replacement)
Use / Nature of Work
Sanitary Sewer
Storm 8cxver
Water Service
Size
Material
Type
Conn. Type
0~i/1--~/200~- FBI 14'04 I;~}/'-'~"N0 761'21