HomeMy WebLinkAbout2003-Plumbing (bathroom)OSHKOSH
ON THE WATER
,Job Address 639 WITZEL AVE
Contractor KOCH PLUMBING
Bathtub 0 Shower
Whirlpool 0 Floor Drain
Lavatory 1 Lndry Tray
Toilet 1 Lndry Stndp
Res. Sink 0 Disposal
Bar Sink 0 Dishwasher
Water Heater 1 Sump Pump
Site Drain 0 Classrm Sink
Roof Drain 0 Breakrm Sink
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner CITY OF OSHKOSH CITY GARAGE
Category 440- Industrial-Interior
0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0
1 WaterSoftner 0 Drink Ftn 0 ServSink 0
0 Local Waste 0 Wait. St. 0 ShampSink 0
0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
0 Bidet 0 Exam Sink 0 Catch Basin 0
0 Beer Tap 0 SculrySink 0 Wash Ftn 0
0 Dent. Oper. 0 Hand Sink 0 Urinal 0
0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 100154
Create Date 03/11/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature Bathroom remodel
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$2,500.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$0.00
Date 03/11/2003
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 2005 DOTY ST OSHKOSH WI 54901 - 0000 Telephone Number
BUTCH (C)379-8753
City of Oshkosh
Inspection Scrvices Divisio,,
P 0 Bo~ 1130
Oshkosh, ~VI ~4~03 I ! 30
Phone: (920) Z36-5050
Fax: (920) 236-~084
Qj'HKO./H
ON TH~ W~IFR
plumbin Permit Application
I hereby apply fi~r :, permit lo do and i~stall thc fi.~llowin?, plmnl~ing on Ibc premises hcrei,mfler described, the work to co,doral lo ~t:c
Wisconsin 5;lace Plumbing Code, in the [lCl'{'Otllla~cc of which all paflles herelo agree lo and are bound by said slalutcs.
.lob Address._.~...~.. ~ ~///~/ZT<.~ Value o.,',,,,~,,g ,:t,o, and-,a,~m Z~-~~'~ '
~$ingle Family [-']Duplex I--]Mula-Fa.,ily {~Rental [-~Commercial
F--llndustrial
Number of Fixtures:
I~athtub .......... Lndry Standp ....... Dent. Op~r.
Whirlpool ......... Disposal Dip Well
Lavaloo, ........ L_.. Dishwashe~ ............. Drink Fm
Toilet .......... /..._ Su.mp Puntp ................ Wait. aL
Rg$..Sink ......... EjeclortlGrind ....... I.~e Ch~s~
9ar sink Wa~' SoPmcr Exam Sink
Wa~-r llcaler / Local Waste Sculqt Sink
Shower Clothes Wshr }land Sink
Floor Drain / Bidr. A F Prep Sink
Lndry Tray Beer T~p Serv Sink
L~b Sink Clus~n Sink lng O~ease Trap
Plaster Sink Surgeons Sink EXt Orease Trap
ateril~zcr Brcaknn
Shamp Sink
FletWsl Rink
Ca,ch Basin
.Urinal
Gar ~ain
S~a Disp
Coff~ Maker
Ice ~
S~p R~
Electric Contractor .OR
Use / Nature orWOrk ~;~?//~~.~ ...... ~.~~f~
ElY form attached (If Replacement)
Sardtary Sewer
Storm 5~wer
Water Sorvice
Size Matcrial Type ti Conn. Type
Application(s) and fee(s) can be brought to City Hail, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh WI
54903-i 128. Commencing work without permit(s) will result in fees b~ing doubled or $100.00 plus the normal permit fcc,
which ever is ~'eater.
OR
Check here if you want this processed throuqh your account ~
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