HomeMy WebLinkAbout0098149-Plumbing (ACW)
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OSHKOSH
ON THE WATER
Job Address 514 HIGH AVE
CITY OF OSHKOSH No 98149
PLUMBING PERMIT - APPLICATION AND RECORD
Owner JOHN T/L1NDA A PORIOR Create Date 10/25/2002
Contractor ADAMS PLUMBING
Category 410 - Residential-Interior Plan
Bathtub 0 Shower 0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
-
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Lavatory 0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
-
Toilet 0 Lndry Stndp 1 Clothes Wshr 0 Ice Chest 0 FlrlWst Sink 0 Int Grease Trap 0
-
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
-
Bar Sink 0 Dishwasher 0 Beer Tap 0 Sculry Sink 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
Use/Nature RENT AU DUPLEX! Auto clothes washer. ..
of Work
Size
Material
Type
#
Conn. Type
Sanitary Sewer
o
o
o
o
o
Storm Sewer
o
o
o
o
o
Water Service
o
o
o
o
o
Valuation
$450.00
Plan Approval
$0.00
Permit Fees
$20.00
Issued By J.<.('t)
Date 10/25/2002
D Permit Voided I
In the performance of this work, I agree to perform all work pursuant to rules goveming the described construction.
Signature
Date
Address 1570 N OAKWOOD
Agent/Owner
OSHKOSH
WI 54904 - 0000 Telephone Number 233-2661
"
City of Oshkosh
inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
~
OfHKOfH
ON THE WATER
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 vou are a contractor participating in the Permit Fee Account Svstem and have adequate funds. check here
if vou want this processed through vour account n
Job Address -5 ) '-I U 1(7 r( ST
~~ ~OQ,.lO~
~Duplex
Owner
E]Single Family
Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
C Gas [J Elect C PwrVnt
Shower
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Lndry Standp
Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Classrm Sink
Surgeons Sink
Breakrm Sink
Electric Contractor
Value (Including labor and materials) J:;srJ .C()
ADAMs VJ l()4
~Rental DCommercial
Contractor
DMulti- Family
1-
Date /0 .J It .O~
Dlndustrial
Dent. Oper. Shamp Sink
Dip Wen FlrlWst Sink
DrinkFtn Catch Basin
Wait.St. Wash Ftn
Ice Chest Urinal
Exam Sink Gar Drain
Scu]ry Sink Soda Disp
Hand Sink Coffee Maker
F Prep Sink Ice Maker
Serv Sink Site Drain
Int Grease Trap Roof Drain
Ext Grease Trap Standp Rec
OR
DElectric Installation Verification form attached
(If Replacement)
Use / Nature of Work ~L'> to CltJ~~s LtA6S~
Size
Material
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Type
3/02