HomeMy WebLinkAbout0103603-Plumbing (bathroom)OSHKOSH
ON THE WATER
Job Address 810 JOHN AVE
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner LEE J TRITT
No 703603 ~GpN j~~Q
OCi 313
~ATF
Create Date 08/19/2003
Contractor KOCH 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 1 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 1 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FIrIWst Sink 0 Int Grease Trap 0
Res. Sink 1 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 RPZ Valve 0
Water Heater 0 Sump Pump 0 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 p
0
0
0
0
Water Service 0
0
0
0
0
Valuation $1,500.00 Plan Approval $0.00 Permit Fees $24.00 ^ Permit Voided
Issued By
Date 08/19/2003
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
Address 2005 DOTY ST
Agent/Owner
OSHKOSH
WI 54901 - 0000 Telephone Number BUTCH (C)379-8753
i o scneaule 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.
('ity o(Oshkosb
lttspoclion Services Division
POt3oY1130
Ushkoslt, 1Vl 54903-1130
Pltonc: (920) 236-5050
l~ a r: (920) 236-5484
~'lumbin~ Permit Application
~GAF~~y~
0
Q^T 31823
~°'~A T F.
HK -~ H
ON THp WnTEt,
t hereby at-ply for a permit to do and install the ft~llpwing plumbing nn the prc-~tiscs hereinafter dcscribctl, cite work tp conform to the
W iscrntsin State Plumbing (~odc, in the pcrfpmtancc of which all panics hereto agree to and arc bound by said statutes.
•~
Job Address_~l~ /P15~iy ~f ValuC (Incl~di~~F IaLar and nnterials)~ Daft . $ "~ 4' ~j
Q++~ncr L~.'...2r~G.~' Contractor _~OC,l~' /t'~l,(3'G, _,Y,
~Sin~lc Family []Duplex ^Mtttti-Calzlily [~[tental OCommcrcial ^Industrial
Number of Fixtures:
Dath-ub ~ _
Whirlpool
Lavatory ~_
Toilet ~_
Res. Sink ~_
Bar Sink
water heater
Shower
Floor Drain
ta-dry Troy
Lab Sink
Plaskr Sink
Sterilizer
Indry Standy ~, ^ Ucnt. Opar. Shamp Sink
Dispos:l Dip Wcl) FldWst Sink
Dishwasher _„_ think Ftn Catch Basin _
Sutnls Puny Wait. St- Wuh Fw
l3jecNOr/CirinO kc Chest lhinal
Water SotMer Exam Sink Gar Orain
LACaI Waste Seulry Sink Sods Disp
Clothes Wshr Rand Slnk Cofree Mtakar
Bidet F Prep Sink toe Maker
Beer Tap Sarv Sink Site Ikain
Ctacam Sink tnt Grace Trap Root brain
Suraearts Siak Gxt t.,rease Tray 5tandp Ree
DrctJvm Sink
Electric Contractor Q~ D EtY form attached (If Replacement)
Use /Nature of Work. ~,~~t,~lf: ~~y~~/.va ~X T~'.t
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
• Application(s) and fee(s) can be brought to City Ball, Room 205 or mailed to titspaction Services, PO Box 112$, Oshkosh Wl
54903-1 1 28. Commencing work without permit(s) will result in fees being doubled tx 5100.00 plus the normal permit fee,
which ever is greater.
OR
Check here it you want this processed through youx account:
:,
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Z0 3Jdd ~NI 9NI81+11~d H~O~ Z8Z09EZ0Z6 0090 E00Z/6i/80