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HomeMy WebLinkAbout0100095-Plumbing (bath remodel)OSHKOSH ON THE WATER Job Address 312-322 BROAD ST Contractor SOPER PLUMBING CITY OF OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD Owner JEFFREY J/SUE A WICINSKY 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 ServSink 0 Lavatory 1 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Toilet 1 LndryStndp 0 CIothesWshr 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 100095 Create Date 03/06/2003 Plan Gar Drain 0 Soda Disp 0 Coffee Maker 0 Iht Grease Trap 0 Ext Grease Trap 0 Use/Nature DUPLEX/Remodel bath. of Work Valuation 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 $1,200.00 Plan Approval $0.00 Permit Fees $20.00 [] Permit Voided J Date 03/06/2003 In the perform/~ce,~.~s, work,, ag~.e~ perform all work pursuant to rules governing the described construction. Signature~//~ ~_.~....~--- Date 3~¢'~--~ .~. / t¢.,,-v,,,-- -- ~1~/ - AgenFOwner Address ~225 BURNWOOD DR Oshkosh WI 54902 - 0000 Telephone Number 426-2151 City of Oshkosh Inspection Services Division P O Box 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 O/HKOJ'H ON Th~ 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 arebound 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 System and have adequate funds, check here if you want this processed through your account ~ Job Address Owner [---]Single Family _~,oao/) X'~"-, Value (Including labor and materials) d.,~:>, d~>O ~, ~/~'~. v/ Contractor ~'~.o~ P~-~/z ,,~/~' ~--]Duplex [~]Multi-Family [--]Rental [-]Commercial Date ~-"~-~.~ [-]Industrial Number of Fixtures: Bathtub / Lndry Standp Dent. Oper. Shamp Sink Whirlpool Disposal Dip Well Flr/Wst Sink Lavatory /t Dishwasher Drink Ftn Catch Basin Toilet / Sump Pump Wait. St. Wash Ftn Res. Sink Ejector/Grind lee Chest Urinal Bar Sink Water Softner Exam Sink Gar Drain Water Heater Local Waste Sculry Sink Soda Disp L Gas © Elect .'2 PwrVnt Clothes Wshr Hand Sink Coffee Maker Shower Bidet F Prep Sink Ice Maker Floor Drain Beer Tap Serv Sink Site Drain Lndry Tray Classrm Sink Int Grease Trap Roof Drain Lab Sink Surgeons Sink Ext Grease Trap Standp Rec Plaster Sink Breakrm Sink Sterilizer Electric Contractor [-']Electric Installation Verificati6n form attached (If Replacement) Use / Nature of Work .A~',~,~,~,~'--~ x~D'~a:z-~ S~e Material 1-ype # Conn. Type Sanitary Sewer Storm Sewer Water Service 3/02