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HomeMy WebLinkAbout0099880-PlumbingOSHKOSH ON THE WATER .lob Address 681 W 5TH AVE Contractor GLAZE PLUMBING CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner KEVIN G KAROW ETAL Category 410 - Residential-Interior Bathtub 1 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Lavatory 2 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Toilet 1 Lndry Stndp 0 CIothesWshr 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 99880 Create Date 02/03/2003 Plan Gar Drain Soda Disp Coffee Maker Int Grease Trap Ext Grease Trap Use/Nature SFR/LATE PERMIT/Remodel bathroom - replacing toilet, bathtub & 2 lavatories. of Work Valuation Issued By Sanitary Sewer Storm Sewer Water Service Size Material Type # $5,000.00 Plan Approval $0.00 Permit Fees Conn. Type 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 $24.00 Date 02/20/2003 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 Osl~kosh Inspection Services Division P O Box 1130 Oshkosh, WI 34903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 Permit Plumbing [L0?g£ T I ~by apply ~r a ~t m do ~ ~mll ~ fo/lowi~ pl~m~ on me p~s h~e~r de~n~e~ ~e ~ m co~o~ m ~e Wh~nsin S~te Pl~bi~ C~, ~ ~ ~ffo~ce of w~ch all p~es hereto a~e ~ ~d g~d by said s~s. Application(s) and fee(s) can be brought to City Hail, Room 205 or mailed to Inspeclion Services, PO Box t 128, Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the norraal pormit fcc, wh/ch cv~/s grcatm'. OR lf vou_ ap~_a cantractat vatticJDating i~ the Permit_Fee_Accouni Svstern~and haw ad~eOttate £und~ c!~'ckdler¢. JobAddress._!b!~'i- L~, GWk Owner iKe,~ ~-~ l~(o.,- c~a [~Single Family ['"]Duplex [_-]Multi-Family [~Rental [~]Commereial [-]Industrial Number of Fixtures: Whirlpool Di~l Toi~ ~. Sink Ej~m/~nd B~ Sink ~ ~ ~ El~t C ~Vnt CI~ Ws~ ~ ~in ~ ~ T~ ~y Troy ... Clas~ S~k ~b Sink ~ S~ Sink Plm~ Si~ ~ ~ Sink Electric Contractor Use INatare of Work ~w~o~¥~ Sanitary Sewer Size Material De~t, Oper, Shamp Shk Dip Wcli _.. FIr/WsI Sink Drin~ Fm Cash Wait, St W~h Fm 1~ ~t U~I E~m $~k Scul~ Sink ~a~ Sink F Pr~ Si~ lee Mak~ Sc~ Sink Iht ~ Trap R~f ~t Gr~ Trap .... S~rm S~wcr [~3Electric lnstafl~flOn VeriflcatlSn form attached (It' R~placement) Com~ Type Waier Service 3/02