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Home My WebLink About0096530-PlumbingCITY OF OSHKOSH No 96530 OSHKOSH ON THE WATER Job Address 973 COZY LN Contractor CJ PLUMBING Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Use/Nature of Work PLUMBING PERMIT -APPLICATION AND RECORD Size Material Type # Conn. Type Sanitary Sewer 0 0 0 0 0 Storm Sewer p 0 0 0 0 Water Service 0 0 0 0 0 Valuation $1,650.00 Plan Approval $0.00 Permit Fees $30.00 Issued By ,/~'~ Date 08/12/2002 Permit Voided In the performa ®f this ork, I agree to perform all work pursuant to rules governing the described construction. Signature f F; t C/ Address 117 DIVISION ST Agent/Owner NEENAH Date ~/ WI 54956 - 9569 Telephone Number 751-8992 Owner DAN & MARSHA HAWE Category 410 -Residential-Interior Create Date 02/13/2002 Plan 1 Shower 0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0 1 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0 1 Lndry Stndp 1 Clothes Wshr 0 Ice Chest 0 Flr/Wst 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 City of Oshkosh Inspection Services Division P O Box 113'0 Oshkosh, WI 54903-1130 Phone: (920)236-5050 Fax: (920) 236-5084 Plumbing Permit Application OHKOH ON THE WATER 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 Svstem and have adequate funds check here f you want this processed through your account n Job Address ~ L Value (Including labor and materials ~ Date .. ~~~ Owner #e,~tn 1~1 Ah Contractor Single Family ^Duplex ^Multi-Family ^Rental ^Commercial ^Industrial Number of Fixtures: Bathtub ~ Lndry Standp ~_ Whirlpool Disposal Lavatory ~_ Dishwasher Toilet Sump Pump Res. Sink ~ Ejector/Grind Bar Sink Water Softner Water Heater Local Waste Gas ~ Elec t ~ PwrVnt Clothes Wshr Shower Bidet Floor Drain Beer Tap Lndry Tray Classtm Sink Lab Sink Surgeons Sink Plaster Sink Breakrm Sink Sterilizer Electric Contractor Dent. Open. Dip Well Drink Ftn Wait. St. Ice Chest Exam Sink Sculry Sink Hand Sink F Prep Sink Serv Sink Int Grease Trap Ext Grease Trap OR ^Electric Installation Verification form attached (If Replacement) Shamp Sink Flr/Wst Sink Catch Basin Wash Fm Urinal Gar Drain Soda Disp Coffee Maker Ice Maker Site Drain Roof Drain Standp Rec Use /Nature of Work Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service 3/02