HomeMy WebLinkAbout0094626-Plumbing (tub-shower)
G
OSHKOSH
ON THE WATER
Job Address 2229 HARRISON ST
CITY OF OSHKOSH No 94626
PLUMBING PERMIT - APPLICATION AND RECORD
Owner TERRY F MIL.LER Create Date OS/23/2002
Contractor GLAZE PLUMBING
Category 410 - Residential-Interior Plan
Bathtub 1 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 0 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 --2
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 SFRI Replace tub/shower module & faucet.
of Work
Size
Material
Type
# Conn. Type
o
o
o
o
o
Sanitary Sewer
Storm Sewer
o
o
o
o
o
Water Service
o
o
o
o
o
Valuation $2,000.00
Issued By tz'<Y'
Plan Approval
$0.00
Permit Fees
$20.00
Date OS/23/2002
o Permit Voided I
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
OSHKOSH
Address 1865 JAMES RD
WI 54904, - 6873 Telephone Number 589-4014
,., {'ity 6f Ushkosh
I !lspectioo Servh:ei Division
} 0 BOI 1136
Oshkosh. WI 54903-1130
fbone: (910) 231).-5050
I'as: (920) 236-!8S4
ctJ
oaQlH
Plumbing Permit 4Imlic~tion
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described. the work to conform to the
Wis<:.onsin State PlumbiDg Code, in the perfOmlllUCC of which all parties hereto agree to and are bound by said statutes.
Jfob Address_ 2'L21 t/AfZrzl s-~ .Jr::
Owner ferriZf r"1 fL-<...G:R
[ia~i~gle FaD1Uy ODupJex
Valae (lncludin, \&bCII and ~torial.) f 1 CDQ
.
h-"K- GLAZE" Pc-nG
OReatal []commercial
Date ~ /n--!o2-
CODuattor
OMulti-Family
[]Industrial
Number of FlXtures:
\lathtub -.L tndr)' SlIndp Denl. Oper. Shan\' Sink
Whirlpool DllpQIal Dip We~ FlrlWst Sink
l.avatory DishwuheT OrinkFtn Qltl:b Basin
"Qilet Sump PIU\1l WlIj!.St. Wasil I'm
1~.Sjnk EjectorfCifind lee Chest Urinal
Bar Sink WBtcr Softner E:<am Sin!. Oar Drain
Water Heater u.cal W~ ~lJ&ySill1c Soda Oisp
Hhower Clothes Wshr Hand Sink Caffee MabIr
I:\nnr flr:ain Bidet F Prop Sillk lee Maker
LlldT)' Tray Beer Tap Serv Sink Sile Drain
lAb Sink CIaUrm Sink lnt Orwe Tl'IJl Roof Drain
J>IutuSi..k SU"ieG114 Sin\: E:tl Orcue Trv; Standp Roc
:itt:riliter Breakmt Sink
!1B.
~/~ ~ ~4
o EIV Conn attaebed (If Replacement)
Size
Material
Type
#
Conn. Type
_:..--
4 ~78'3
# "2De-
~-j,p_[OJ-
SAnitary Sewer
Storm Sewer
Water Service
. Application(i) and fee(s) em be brought to City Hall. Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh WI
54903-11 ~:8. Commencing work without per:mit(s) will result in fees being doubled or 5100.00 plus the normal permit fee,
which ever is greater.
OR
Check here i.f you want this procestiurd througb ,your account 0
Permit Number 94626
Contractor GLAZE pLUMBING ..
Create Date OS/23/2002
Job Address 2229 HARRISON ST
Owner TERRY F MILLER
~tegory 410 - Residential-Interior Value $2,000.00
( ..htub 1 Shower 0 EJectorfGi'irld 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 0 Clothes Wshr 0 Ice Chest 0 FlrfWst Sink 0 Int Grease Trap 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 ExtGrease 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
UsefNature SFRI Replace tub/shower module & faucet. l
of Work
".,." J.~."'-""~,,', " ' ,"', c. - ..- J',-,>
Size
Material
Type'
'# . COrln:Type
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
.....".....'..-....,.,."11...,.,..'........".. ,.' "'.................?........."'--
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equested By: GLAZE PLUMBING': Joel'
spect Fee Paid