HomeMy WebLinkAbout0099590-Plumbing (sump pump)OSHKOSH
ON THE WATER
Job Address 1501 OREGON ST
Contractor GLAZE PLUMBING
Bathtub 0 Shower
Whirlpool 0 Floor Drain
Lavatory 0 Lndry Tray
Toilet 0 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
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner STEPHEN R NELSON ETAL
Category
410 - Residential-Interior
0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0
0 WaterSoftner 0 Drink Ftn 0 Serv Sink 0
1 Local Waste 0 Wait. St. 0 Shamp Sink 0
0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0
0 Bidet 0 Exam Sink 0 Catch Basin 0
0 Beer Tap 0 SculrySink 0 Wash Ftn 0
1 Dent. Oper. 0 Hand Sink 0 Urinal 0
0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 99590
Create Date 01/27/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap __
0
0
0
0
0
Use/Nature SFR/Install LT w/air admittance valve for indirect ACW discharge. Install sump pump.
of Work
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
Valuation $2,000.00 Plan Approval $0.00 Permit Fees
Issued By
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$20.00
Date
01/27/2003
[] Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 1865 JAMES RD OSHKOSH WI 54904 - 6873 Telephone Number
589-4014
City of Oshkosh
Inspect/on Services DP, tis/on
P 0 Box 1130
Oshlmah, WI ~4903-! 130
Phone: (920) 236-5050
Fax: (920) 236-5084
Plumbing Permit Application
I hereby apply for a permit to do and instal! the following plumbing on the premises hereinafter de$cn'bed, tile wodc to comrorm to the
Wiscons/n State Plumbing Code, in the performance of which all part/es hereto agree to and are. hmmd by said statutes.
Application(s) and fe~($) can be brought to City l~II, 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 fcc, wh/ch ever is grcater.
OR
If vo~ ar~a c~'ntractor ~articivatine i~ the_ Permit Fee~_~4cc_ount Sv&tenLand~ay~.adeauate-f~nd~ chti'ckher¢.
Job Address_ ":1-~¢'[ ~ ~ ._ Value 0.dudmla~ana mat
~ngle Fa~y ~Duplex ~Muat-Famfly ~mntal ~Commerciat
[~IndustFial
Number of Fixtures:
Bathtub ... lmdry S~andp D~t. Op~.
Whirlpool Di~t .... ~p W~li .......... ~r~t Sink
Toilet ~ Su~ Pu~ ~ Wait. St. Wash Fm
~. Sink ~ Ejgt~/Odnd 1~ C~t
g~ Sink , ~ Wa~ S~m~ ~ E~m SMk
Wa~ Hmt~ ~ W~ ~ Scul~ Sink
~ ~ ~ E{~ ~ ~Vnt CIo~ Wshr ~a~ Sink
S~ ~ Bidet F Pr~ 5i~ Ice Mak~
~r ~in ~ ~ Tap Se~ Sink Site
'~y Troy {. Clas~ S~k Im ~e Trap
~ Sink ~ ~rg~s Sink ~t Gmara Trap
Pl~mr Si~ ~ Br~ Sink
Electric Contractor
Use I Nature of Work
Sanitary Sewer
Storm Sewer
Water Service
Size
0.~ ['-lElectric Instaihition Veriflcati6u form attached
Material Type # Conm Type
3/02