HomeMy WebLinkAbout0104034-PlumbingOSHKOSH
ON THE WATER
,Job Address 3490 EICHSTADT RD
Contractor JIM'S PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner FOX CITIES CONSTRUCTION
Category 410 - Residential-Interior
No 104034
Create Date 08/11/2003
Plan
Bathtub 1 Shower 1 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 1 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Lavatory 2 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 2 Lndry Stndp 1 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
Res. Sink 1 Disposal 1 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Bar Sink 0 Dishwasher 1 Beer Tap 0 SculrySink 0 Wash Ftn 0 RPZValve 0
Water Heater 1 Sump Pump 1 Dent. Oper. 0 Hand Sink 0 Urinal 0 Eye Wash Statn 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
of Work
Size Material Type # Conn. Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 0
0
0
0
0
Valuation $6,000.00 Plan Approval $0.00 Permit Fees $78.00 ~ Permit Voided
Issued By
Date 09/08/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address W-6166 GREENVILLE DRIVE GREENVILLE WI 54942 - 0000 Telephone Number
757-5258 OR 757-64(
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
09/08/2003 06:21 FAX 920 75? 8452
JIm'S PLUI~BING
~001/001
Plumbing Permit Application
.... ~_~ _. the ~.r~ hereina~er deactibed, the work to ~ooform t° th~
hereby aouiv for a p~t t0 do ~d imt~tl the buoY8 p~o~,~ ~:e- h~eto -~ to ~ a~ ~d by said
~iu S~te Pithing C~, m the ~fo~eot wmcn au pas. ~
Application(S) and f~e(s) c~ be ~o~t ~o ~ Hall, R~m 205 ~ ~iled w ~ec~on S~c~, PO Box 1128,
~oshWl 54903-1k28. Co~cncingw°rkwi~°ut~it(s)~ll~s~t~ fe~ngd~l~°r$1OO'OOpl~e
a~l p~it ~e~, w~ch ev~ is ~ter.
oR - - ~ ~ h~ve d~ ~nd~ ck her
$ingle Family
[~Duplex
E-]Multi. Family
[-~Rentnl ["~Commereiai
Number of FixtureS: I Ms, o~. _ - s~n~ si.~ --
j~ dElectric Installation Verification fort~ attached
Electric Contractor
Use I Nature of Work
Storm Sewc~
09/02/2003 TIJE 10:37 [TI/RI NO 8346] ~001