HomeMy WebLinkAbout0100025-Plumbing (water heater, lav & toilet)OSHKOSH
ON THE WATER
Job Address 727 FRANKLIN ST
Contractor PETERS MECHANICAL INC
Bathtub 0 Shower 0
Whirlpool 0 Floor Drain 0
Lavatory 1 Lndry Tray 0
Toilet 1 Lndry Stndp 0
Res. Sink 0 Disposal 0
Bar Sink 0 Dishwasher 0
Water Heater 1 Sump Pump 0
Site Drain 0 Classrm Sink 0
Roof Drain 0 Breakrm Sink 0
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner AHMAD A/GHAZWA SANKARI
Category 410 - Residential-Interior
Ejector/Grind 0 DipWell 0 F Prep Sink 0
Water Softner 0 Drink Ftn 0 Serv Sink 0
Local Waste 0 Wait. St. 0 Shamp Sink 0
Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0
Bidet 0 Exam Sink 0 Catch Basin 0
Beer Tap 0 Sculry Sink 0 Wash Ftn 0
Dent. Oper. 0 Hand Sink 0 Urinal 0
Lab Sink 0 Plaster Sink 0 Standp Rec 0
Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 100025
Create Date 03/03/2003
Plan
Gar Drain 0
Soda Disp 0
Coffee Maker 0
Iht Grease Trap 0
Ext Grease Trap 0
Use/Nature SFR/Gas water heater, lay, toilet
of Work
Valuation f $2,500.00
Issued By~
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
Plan Approval $0.00 Permit Fees $20.00
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.
Signatu%,__~,.;%~=~~- - ...... ~'~' ~ ~'~% ~'~-~ Agent/Owner ¢~~-'- Date ~1'~'~;>
Address 1421 S WEBSTER AVE OMRO WI 54963 - 0000 Telephone Number HOME 685-2694
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
O/HKO/H
ON THE 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 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. 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 SFstem and have adequate funds, check here
if you want this processed through Four account ~
Job Address '~, ~"3 ~ .., ~ , ,,. Value (Including laborand materials) q:~,~'~O
~'ngle Family [--]Duplex ['-]Multi-Family [-]Rental [-]Commercial
[-']Industrial
Number of Fixtures:
Bathtub Lndry Standp Dent. Oper.
Whirlpool Disposal Dip Well
Lavatory 'i Dishwasher Drink Fm
Toilet ~ Sump Pump Wait. St.
Res. Sink Ejector/Grind Ice Chest
Bar Sink Water Softner Exam Sink
W~GasHeater Local Waste Sculry Sink
Q Elect _2 PwrVnt Clothes Wshr Hand Sink
Shower ~ Bidet F Prep Sink
Floor Drain Beer Tap Serf Sink
Lndry Tray Classrm Sink Int Grease Trap
Lab Sink Surgeons Sink Ext Grease Trap
Plaster Sink Breakrm Sink
Sterilizer
Shamp Sink
Flr/Wst Sink
Catch Basin
Wash Ftn
Urinal
Gar Drain
Soda Disp
Coffee Maker
Ice Maker
Site Drain
Roof Drain
Standp Rec
Electric Contractor
Use / Nature of Work
~-~Electric Installation Verificatidn form attached
(If Replacement)
Sanitary Sewer
Storm Sewer
Water Service
Size
Material
Type
# Conn. Type
3/02