HomeMy WebLinkAbout0099941-PlumbingOSHKOSH
ON THE WATER
Job Address 1618 SHERIDAN ST
Contractor JNL PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner REBECCAA HACKETT
Category 410 - Residential-Interior
Bathtub 0 Shower I Ejector/Grind 0 DipWell 0 F PrepSink 0
Whirlpool 1 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0
Lavatory 2 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0
Toilet 0 Lndry Stndp 1 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 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
No 99941
Create Date 02/26/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
IFPJ
Use/Nature
of Work
Remodeling existing bathroom.
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
Valuation $2,000.00 Plan Approval $0.00 PermitFees $30.00
Issued By ~
[] Permit Voided J
Date 02/26/2003
In the perfo~nce ~h~s work, I agree~rf,~m_all work pursuant to rules governing the described construction.
Signature ~, I~'~-~.-~-~f ~ .~ Date
15 ~ t Agent/Owner
Address 70 N OAKWOOD RD Oshkosh WI 54904 - 0000 Telephone Number
233-2661
Cie), of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
O../HKO./H
ON TF~ 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 stamtes.
· 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
(f you want this processed through your account [~
Job Address l~'[~ .~3,'x ~o. '/3~2~ Value (Including mhor and marina,s)
Owner S ~b ~ Contractor ~
[~ingle Family [-']Duplex [--]Multi-Family ['-]Rental
I--]Commercial
Date ~'c~ ~.
['-]Industrial
Number of Fixtures:
Bathtub Lndry Standp / Dent. Oper.
Whirlpool t' Disposal Dip Well
Lavatory ~ Dishwasher Drink Fm
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 ~ PwrVnt
Clothes Wshr Hand Sink
Shower J
Bidet F Prep Sink
Floor Drain
Beer Tap Serv Sink
Lndry Troy Classrm Sink Int Grease Trap
Lab Sink
Surgeons Sink Ext Grease Trap
Plaster Sink
Breakrm Sink
Sterilizer
Shamp Sink
FlrAVst Sink
Catch Basin
Wash Ftn
Urinal
Gar Drain
Soda Disp
Coffee Maker
Ice Maker
Site Drain
Roof Dram
Standp Rec
Electric Contractor
Use / Nature of Work
dR ['-]Electric Installation Verificatidn form attached
(If Replacement)
Sanitary Sewer
Size
Material
Type # Conn. Type
Storm Sewer
Water Service
3/02