HomeMy WebLinkAbout0094616-Plumbing (toilet)OSHKOSH
ON THE WATER
Job Address 1320 KENSINGTON AVE
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner MR/MRS JOHN L WINDLE
Contractor GLAZE PLUMBING
Bathtub 0 Shower _
Whirlpool 0 Floor Drain
Lavatory 0 Lndry Tray _
Toilet 1 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
0 Ejector/Grind
0 Water Softner
0 Local Waste
0 Clothes Wshr
0 Bidet
0 Beer Tap
0 Dent.Oper.
0 Lab Sink
0 Sterilizer
Category 410 -Residential-Interior
0 Dip Well 0 F Prep Sink
0 Drink Ftn 0 Serv Sink
0 Wait. St. 0 Shamp Sink
0 Ice Chest 0 Flr/VVst Sink
0 Exam Sink 0 Catch Basin
0 Sculry Sink 0 Wash Ftn
0 Hand Sink 0 Urinal
0 Plaster Sink 0 Standp Rec
0 Surgeons Sink 0 Ice Maker
0 Gar Drain 0
0 Soda Disp 0
0 Coffee Maker 0
~ Int Grease Trap 0
~ Ext Grease Trap 0
0
0
0
0
Use/Nature ~SFR/ Replace WC on 1st fl~
of Work
Size Material Type # Conn. Type
Sanitary Sewer p
0
0
0
0
Storm Sewer p
0
0
0
0
Water Service 0
0
0
', 0
0
Valuation $410.00 Plan Approval $0.00 Permit Fees $20.00
Issued By ~~~ Date 05/23/2002
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature I Date
No 94616
Create Date 05/23/2002
Plan
AgenUOwner
Address 1865 JAMES RD OSHKOSH WI 54904 - 6873 Telephone Number 589-4014
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920). 236-5050
Fax: (920) 236-5084
Plumbing Permit Application
n
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.
Job Address 130 {C~ta3SrnIG"Tov Value (Including labor and materials) ~ llO Date x(21/02
Owner Jam 1,.4~ecF ~ Contractor ~=T~. G ~ZC p~~
~ngle Family ^Duplex ^Multi-Family ^Rental ^Commercial ^Industrial
Number of Fixtures:
Bathtub Lndry Standp Dent. Open. Shamp Sink
Whirlpool Disposal Dip Well Flr/Wst Sink
Lavatory Dishwasher Drink Ftn Catch Basin
Toilet ~ Sump Pump Wait. St. Wash Ftn
Res. Sink Ejector/Grind Ice Chest Urinal
Bar Sink Water Softner ' Exam Sink Gar Drain
Water Heater Local Waste Scu1ry Sink Soda Disp
Shower Clothes Wshr Hand Sink Coffee Maker
Floor Drain Bidet F Prep Sink Ice Maker
Lndry Tray Beer Tap Serv Sink Site Drain
Lab Sink Classrm Sink Int Grease Trap Roof Drain
Plaster Sink Surgeons Sink Ext Grease Trap Standp Rec
Sterilizer Breakrm Sink
Electric Contractor n OR ^ EIV form attached (If Replacement)
Use /Nature of Work ~1Pt.~cz= LJ G a• l ~ .~ ~~
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
~~ ~~ 3~
~ ~a ,
sl~~~~ /
• 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
Check here if you want this processed through your account