HomeMy WebLinkAbout0099943-Plumbing (fixtures)OSHKOSH
ON THE WATER
.lob Address 911 STARBOARD CT
Contractor M P KELLY
Bathtub 0 Shower
Whirlpool 0 Floor Drain
Lavatory 1 Lndry Tray
Toilet 1 Lndry Stndp
Res. Sink 1 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 TIMOTHY L PINNOW
Category 410 - Residential-Interior
1 Ejector/Grind 0 Dip Well 0 F Prep Sink 0
0 WaterSoftner 0 Drink Ftn 0 ServSink 0
0 Local Waste 0 Wait. St. 0 ShampSink 0
0 CIothesWshr 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
0 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 99943
Create Date 02/26/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature SFR/Replace fixtures.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$2,500.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$24.00
Date
02/26/2003
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 665 N MAIN ST OSHKOSH WI 54901 - 4431 Telephone Number
231-1750
City of Oshkosh
I~on Services Division
P O Box 1130.
Oshkosh, ~ $4903-1130
Phone: (920) 236-5050
Pax: (920) 236-5054
Plumbing Permit Application
Q/H osH
ON ?~l:
I hereby apply for a permit to do and install the following plumbing on the prewases 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 ~aid 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. Cornr~. encing work without permit(s) will result in fees being doublexl or $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contr, actort~articipatin£ in the Permit Fee Account System and have adequate fund$,,,qheck here
(f you want thi$,p.r,.oce$$ed through your account Fl
~]Single Family [~Duplex FlMuiti-Family [-'lRental I ICommerelal F"llndu~al
Number of Fixt. r.:
B,,tMub ...... Lmlry Standp Dent. O~'r.
Whh41~ol Dbl~Sal Dip Well
La~m~, / Dish~sh~ Drink Fm
Toilet / Sum~ Pum~ Wait. St.
l' Si~k '/ Ice Chest
.~.~.
E) eetor/C~nd
Bit SMk WI~ ~ Exam Sink
W~W H~ ~1 WIs~ $cul~ Sink
O ~ O E~ ~ ~M C~ Wshr Hand Sink
S~ [ BM~ F P~ Sink
~ ~in B~ Tap S~ Sink
~ Troy ~ Sink Int O~se T~p
~b Sink ,, S~s Sink Ext ~se T~p
PI~ S~ B~ Sink
S~tt~
Electric Contractor O'R / E3Elec~ie~stailation Verlfleatl~e form
attached
orWo,· .
Wnte~ Sewice
3/02