HomeMy WebLinkAbout2002-PlumbingCITY OF OSHKOSH No 97705
OSHKOSH
ON THE WATER
Job Address 1212 WASHINGTON AVE
Contractor E C MERRILL INC
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Use/Nature
of Work
Size Material Type # Conn. Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service p
0
0
0
0
Valuation $1,000.00 Plan Approval $0.00 Permit Fees $20.00
Issued By ~(~ Date 10/02/2002
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Address 804 WITZEL AVE
Agent/Owner
OSHKOSH
WI 54902 - 0000 Telephone Number 235-3600
PLUMBING PERMIT -APPLICATION AND RECORD
Owner JIMMIE G/DONDRA RUDD
Create Date 10/02/2002
Plan
Category 410 -Residential-Interior
0 Shower 0 Ejector/Grind 0 Dip Well O F Prep Sink 0 Gar Drain 0
0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 Flr/V11st Sink 0 Int Grease Trap 0
1 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
0 Dishwasher 0 Beer Tap 0 Sculry Sink 0 Wash Ftn 0
0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0
0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
kitchen sink.
City of Oshkosh
Inspection Serv~:Division
P O Box 1130
Oshkosh, WI 549Q3-1130
Phone: (920) 23.5®50
Fax: (920) 236-.5064
Plumbing Permit Application
L
O~1 i i
ON THE WATER
I hereby apply far a permit to do and install the following plumbing on the premises hereinafter descn'bed, the work to conform to the
Wisconsia,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 34903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal perlaft fee, which ever is greater.
~R
If you are a co:tractor participating in the Permit Fee Account System and have adequate funds check here
if you want this processed through your account n
Job Address ~ lZ liJ -4'S Gk l Ili j Qt~ Vallle (Including labor and materials) ~~~ v O
Owner ` ~ ~ W~ V ~ ~ Contractor ~ - C ~ 1~CZ-U~-1 1-~--
.~Single Famd~ ^Duplez ^Multi-Family ^Rental ^Commercial ^Industrial
Number of F>t>c~tres:
Bathtub
Whirlpool
lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
^ Gas G Elect ~ P~/nt
Shower
Fkrx Drain
Iltdry Tray
lab Sink
Plaster Sink
Sten'liar
Electric Contractor
Use /Nature of'Worl
Lndry Standp Dent. ,S
Disposal Dip Well _~l' O Flr/Wst
Dishwasher Drink Ftn ~ ~ ?~~h Basin
Sump Pump Wait. St ~o/Y/ uC/aA p~~r Wash Ftn
Ejector/Grind Ice Chest ~_ ',/~T DcCNT lJtsppl
Water Softrter Exam Sink C VE ~//cc//V/~~/~~m
Local Waste Scuhy Sink ~ CSoB'ar)~~'
Clothes Wshr Hand Sink Coffee Maker
Bidet F Prep Sink Ice Maker
Beer Tap Serv Sink Site Drain
Classrm Sink Int Grease Trap Roof Drain
Surgeons Sink Ext Grease Trap Standp Rec
Breakrm Smk
OR -` ^Electric Installation Verification form attached
(If Replacement)
I s
Size Material Type # Coffi. Type
Sanitary Sewer
Storm Sewer
Water Service
~° /~
. ~ 302
Date ~ ~ ~ ~