HomeMy WebLinkAbout0100030-Plumbing (fixtures)OSHKOSH
ON THE WATER
.lob Address 851 WISCONSIN ST
Contractor KOCH PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner JUNGWIRTH PROPERTIES LLC
Category 410 - Residential-Interior
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 0 Floor Drain 0 Water Soffner 0 Drink Ftn 0 Serv Sink 0
Lavatory 1 Lndry Tray 0 LocalWaste 0 Wait. St. 0 Shamp Sink 0
Toilet 0 Lndry Stndp 0 ClothesWshr 1 Ice Chest 0 FIr/Wst Sink 0
Res. Sink 1 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 1 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 100030
Create Date 03/03/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature RENTAL/Re-pipe sink, AW &lav and install WH. *EIV form from Cumnigs Electric.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$400.00 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 03/03/2003
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 2005 DOTY ST OSHKOSH WI 54901 - 0000 Telephone Number
BUTCH (C)379-8753
02/28/2003 18:57
(;it) of Osbkod)
fnspection Services Division
P O Box 1130
Oshkosh, WI S4903-1 I30
;'hone: (920) 236-5050
Fat: (920) 2~6-5054
92023§0282 KOCH PLUMBING INC PAGE BI
Plu.mbin [ Per_mit ApD!ication
I hereby apply for a pcnm! to do and install the following plumbing on thc pre.scs ~rei~flcr dc~cri~d. ~e wo~k to co~o~ to ~c
Wisconsin Stose Plumbing C~, ~ ~ ~o~.c~ of which ali p~ie~ ~rcto agree ~o and ar~ bound by ~id s~t,e~,
Owner ~/~~~-- Contractor ~~._~~ ,__
Number of Fixtures:
Bathtub Ladry Slmndp L.Nmt. Olaf. _ ~ Shomp Sink
Toilet .......... S~ Pu~ ...... Wail. SI. W~h Pm
W~t~ ll~w .....
~ ~m B~t ~ f ~ Sink . ~ Mak~
~(1~ ~, . ........
~b Sink
Electric Contractor
D EIV form attached (IfRcplaccmcnt)
Use / Nature of Work~-----~-'~/'/~,/~, .~"//~,~;~.~, 49~/' / ........
Sar~tary Sewer
Material Type # Conn. Type
Watcr Scrvicc
Application(s) and fee(s) can be brought to Ctly Hall, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh WI
54903-1128. Cornn~neing work without permit(s) w~ll result in fe~s being doubled or $100.00 plus thc normal permit Icc,
which ever is i~'eater.
OR
~ ~2/28/2003 18:57 9202350282 KOCH PLUHBING INC PAGE 02
Electric Installation Verification
! [We) CUriNGS ELECTRIC
at ~e foUo~nB ~: 851 ~S~IN ~.
~C a~ o~e ~ ~ of: (~k ~g ~ Dmcfibc ~e N~turc of W~k)
water ~nt~.
~ R~tjon of~c Sc~ce En~e C~bl~ Me~ Box, Mt~m to ~l~
~ li~n8 fixtur~ duc to sidi~ / so~t ms~l~ti~. N~e: New S~cc
cl~c~ outlet.
T~c va~ue of this work is $ t~_O0.oo _ ~.
i hcrcby verJf'y this wo~ will be performed by an employcc of this c~p~y ~d ~u~t~ vmfy
~c m~nn~ / in~on will be d~ in c~pli~ce with m~u~nc~umr ~ giectAc ~e
mquir~nts.
(Date)