HomeMy WebLinkAbout0100055-Plumbing (bathroom fixtures)OSHKOSH
ON THE WATER
Job Address 670 FRANKLIN ST
Contractor JNL PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner SCHMIEDEL ENTERPRISES LLC
Category 410 - Residential-Interior
Bathtub I Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0
Lavatory 1 LndryTray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0
Toilet I Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0
Res. Sink 0 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 0 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 100055
Create Date 03~0512003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature SFPJRemodel
of Work
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
Valuation $1,200.00 Plan Approval $0.00 Permit Fees $20.00
Issued By ~
Date 03/05/2003
[] Permit Voided
In the perform~%f this work.. ~to~work pursuant to rules governing the described construction.
Signature ~.J ~ Date
Agent/Owner
Address 1570 N OAKWOOD RD Oshkosh WI 54904 - 0000 Telephone Number
233-2661
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 ~HE WATER
Plumbing Permit Application
I hereby apply for a permit to do and install the followin, g 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
I£¥ou are a contractor participating in the Permit Fee Account System and have adequate _funds, check here
if you want this processed throu.gh your account [~
Job Address ~ ~/0 ~v~.q~t,.~kdi. t t~ Value (Including labor and materials)
Owner ~ -~ ~ C ¢- em, I tO t~L Contractor ..T'0xCL_
[~]Single Family ['-IDuplex [--]Multi-Family [--]Rental
Date,.3- J~ O_.~
[-']Commercial ['-]Industrial
Number of Fixtures:
Bathtub I Lndry Standp Dent. Oper.
Whirlpool Disposal Dip Well
Lavatory / Dishwasher Drink Ftn
Toilet '] Sump Pump Wait. St.
Res. Sink Ejector/Grind Ice Chest
Bar Sink Water Softner Exam Sink
Water Heater Local Waste Sculry Sink
O Gas £ Elect £ PwrVnt Clothes Wshr Hand Sink
Shower Bidet F Prep Sink
Floor Drain Beer Tap Serv 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
Catdh Basin
Wash Ftn
Urinal
Gar Drain
Soda Disp
Coffee Maker
Ice Maker
Site Drain
Roof Drain
Standp Rec
Electric Contractor
Use / Nature of Work
Sanitary Sewer
Size Material Type
[--]Electric Installation Verificatidn form attached
(If Replacement)
# Conn. Type
Storm Sewer
Water Service
3/02