HomeMy WebLinkAbout0057547-Plumbing (interior)OSH t7SH
ON THE WATER
Job Address 565 GOLDEN IRIS DR
Contractor JIM'S PLUMBING
Bathtub 1 Shower
Whirlpool Floor Drain
Lavatory 2 Lndry Tray
Toilet 2 Lndry Stndp
Res. Sink 1 Disposal
Bar Sink Dishwasher
Water Heater 1 Sump Pump
Site Drain Classrm Sink
Roof Drain Breakrm Sink
Use/Nature
of Work NSF
Valuation
Issued By
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner DUWAYNE JACOBSON
Category 410 -Residential-Interior
1 Ejector/Grind Dip Well F Prep Sink
1 Water Softner Drink Ftn Serv Sink
Local Waste Wait. St. Shamp Sink
1 Clothes Wshr Ice Chest FIr/Wst Sink
1 Bidet Exam Sink Catch Basin
1 Beer Tap Sculry Sink. • . Wash Ftn
1 Dent. Oper. Hand Sink Urinal
Lab Slnk Plaster Sink Standp Rec
Sterilizer Surgeons Sink Ice Maker
No 0057547
Create Date 03!25/97
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
ze a a , ., ype onn. ype
Sanitary Sewer
Storm Sewer
Water Service
permit Fees $52.00
Date 04/18/97
~rm of
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 205 ALLEN AVE OSHKOSH WI 54901 - 1953 Telephone Number
Plumbing Permit Wor ~ rd 7
Job Address 566 OOOLDEN tRIS DR Permit Number
Owner DUWAYNE JACOBSON Contractor JIM'S PLUMBING
Category 410 -Residential-Interior Plan
htub ~_ Shower ~_ Ejector/Grind Dip Well F Prep Sink
Whirlpool ~ Floor Drain ~ Water Softner Drink Ftn Serv Sink
Lavatory ~ Lndry Tray Local Waste Wait. St. Shamp Sink
Toilet ~ Lndry Stndp ~ Clothes Wshr Ice Chest FIrIWst Sink
Res. Sink _~ Disposal f Bidet Exam Sink Catch Basin
Bar Sink Dishwasher ~ Beer Tap Sculry Sink Wash Ftn
Water Heater ~ Sump Pump ~ Dent. Oper. Hand Sink Urinal
Site Drain _ Classnn Sink _ Lab Sink Plaster Sink Standp Rec
Roof Drain Breakrm Sink Serilizer Surgeons Sink Ice Maker
Use/Nature
of Work NSF
Create Date 03!25/97
Value ~ ~~ ~~
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Sanitary Sewer
Storm Sewer
rater Service
Date Type
I'~ ~ 3~~ 5~y7
Inspector
pprove
~~
.~--~
1 Ks
Plumbing Permit Work Card
Job Address 565 GOLDEN IRIS DR Permit Number 0057547 Create Date 03/25/97
Owner DUWAYNE JACOBSON Contractor JIM'S PLUMBING
Category 410 -Residential-Interior Pian Value $3,400.00
`.htub 1 Shower ~ ~ 1 Ejector/Grind Dip Weil F Prep Sink Gar Drain
_.~~irlpool Floor Drain ~ 1 Water Softner Drink Ftn Serv Sink Soda Disp
Lavatory 1 I j 2 Lndry Tray Local Waste Wait. St. Shamp Sink Coffee Maker
Toilet /) i
2 Lndry Stndp ~ 1 Clothes Wshr Ice Chest FINWst Sink Int Grease Trap
Res. Slnk 9 1 Disposal
/ ~ 1 Bidet Exam Sink Catch Basin Ext Grease Trap
Bar Sink T Dishwasher ~ 1 Beer Tap Sculry Sink Wash Ftn
Water Heater ~ Sump Pump ~ 1 Dent. Oper. Hand Sink Urinal
Site Drain Classnn Sink Lab Sink. Plaster Sink Standp Rec
Roof Drain Breaknn Sink Sterilizer Surgeons Sink Ice Maker
Use/Nature
of Work NSF
Date 4/4/9 ype n ergroun nspector
r `'~~~' ~
prove
Date 3/25/97 Type Rough In Inspector WJC