HomeMy WebLinkAbout0099915-Plumbing (lav & 2 toilets)OSHKOSH
ON THE WATER
Job Address 1201 WAUGOO AVE
Contractor JNL PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner EARL E/BARBARA HENDRICKSEN
Category 410 - Residential-Interior
No 99915
Create Date 02/24/2003
Plan
Bathtub 0 Shower
Whirlpool 0 Floor Drain
Lavatory 1 Lndry Tray
Toilet 2 Lndry Stndp
Res. Sink 0 Disposal
Bar Sink 0 Dishwasher
Water Heater 0 Sump Pump
Site Drain 0 Classrm Sink
Roof Drain 0 Breakrm Sink
Use/Nature SFP,/Install lay & toilets.
of Work
0 Ejector/Grind 0 DipWell 0 F PrepSink 0 Gar Drain
0 WaterSoftner 0 Drink Ftn 0 ServSink 0 Soda Disp
0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker
0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap
0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap
0 Beer Tap 0 SculrySink 0 WashFtn 0
0 Dent. Oper. 0 Hand Sink 0 Urinal 0
0 Lab Sink 0 Plaster Sink 0 StandpRec 0
0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Valuation
Issued By
$500.00
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Plan Approval
$0.00 Permit Fees
$20.00
[] Permit Voided
Date 02/24/2003
In the performance//o~ this work. I ~g~ree~o perform all work pursuant to rules governing the described construction.
Signature ,~ [,_.~,_~ [,.~-,..-~ Date
Agent/Owner
Address 1570 N OAKWOOD RD Oshkosh WI 54904 - 0000 Telephone Number 233-2661
City of Oshkosh
Inspection Services Division
P O Box 1130
OshkoSh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Q/HKQ/H
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 you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through Four account ~
Job Address [ ~[(3 i ~L) qOo~F Value(Incmding,aborandmatma, s) ~
Owner Contractor .J~[ L_.
[~Single Family [-']Duplex [--]Multi-Family ]-"]Rental [-]Commercial
Date~ o[ ~ O.~
['-]Industrial
Number of Fixtures:
Bathtub Lndry Standp Dent. 0per.
Whirlpool Disposal Dip Well
Lavatory ] Dishwasher Drink Ftn
Toilet ~ Sump Pump Wait. St.
Res. Sink Ejector/Grind Ice Chest
Bar Sink Water Softner Exam Sink
Water Heater Local Waste Sculry Sink
E Gas ~ Elect E PwrVnt
Clothes Wshr Hand Sink
Shower
Bidet F Prep Sink
Floor Drain
Beer Tap Serv Sink
Lndry Tray Classrm Sink lnt Grease Trap
Lab Sink
Surgeons Sink Ext Grease Trap
Plaster Sink
Breakrm Sink
Sterilizer
Shamp Sink
Flr/Wst Sink
Catch Basin
Wash Ftn
Urinal
Gar Drain
Soda Disp
Coffee Maker
Ice Maker
Site Drain
Roof Drain
Standp Rec
Electric Contractor
Use / Nature of Work
Sanitary Sewer
Storm Sewer
Water Service
Size
['-]Electric Installation Verificatidn form attached
(If Replacement)
Material Type
Conn. Type
3/02