HomeMy WebLinkAbout0100165 POSHKOSH
ON THE WATER
.lob Address 812 MERRITT AVE
Contractor JNL PLUMBING
Bathtub 0 Shower 0
Whirlpool 0 Floor Drain 0
Lavatory 0 Lndry Tray 0
Toilet 0 Lndry Stndp 0
Res. Sink 0 Disposal 0
Bar Sink 0 Dishwasher 0
Water Heater 1 Sump Pump 0
Site Drain 0 Classrm Sink 0
Roof Drain 0 Breakrm Sink 0
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner LONNIE T DARLAND
Category 411 - Residential-Water Heaters
Ejector/Grind 0 DipWell 0 F Prep Sink 0
Water Softner 0 Drink Ftn 0 Serv Sink 0
LocaIWaste 0 Wait. St. 0 Shamp Sink 0
CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
Bidet 0 Exam Sink 0 Catch Basin 0
Beer Tap 0 Sculry Sink 0 Wash Ftn 0
Dent. Oper. 0 Hand Sink 0 Urinal 0
Lab Sink 0 Plaster Sink 0 Standp Rec 0
Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 100165
Create Date 03/12/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature DUPLEX/Install gas water heater for Kitz & Pfeil.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size
$300.00 Plan Approval $0.00 Permit Fees
Material Type #
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$20.00
Date
03/12/2003
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 1570 N OAKWOOD RD Oshkosh WI 54904 - 0000 Telephone Number
233-2661
HflR-12-2003 NED 11:B1RH KITZ&PFEIL
920 236 3348
P, 02
City olt Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI ~4903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
O/HKO/H
ON TI~
Plumbing Permit Application
I hereby apply for a pcm~it lo do and install tho following plumbing on thc premises hcrcinaflor described, Re work to conform to thc
Wisconsin State Plumbing Code, in tho perfomnnce of which all parties hereto agree to and are. bound by said statutes.
Application(s) and fee(s) can bc brought m City Hail, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work W~thout permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
t. f you~ a~_q conrract~qr partt£ipatt,n,g in the Permit Fee Account Sysret~ and have adqa_!tate funds, chec.k here
~f_vou wa.ut this prOce~'$ed t_tL[ough Four account ~J~
Job Address
Owner
~Single Family ~Duplex ~Multi-Family ~Rentai ~Commercial
Date~
~-qlndustriai
Number of Fixtures:
t~athtub Lndvff Standp _ . . Dent. Op~'.
Whirlpool Disposal Dip Well
Imva cory Dishwasher Drink Fin
Toile~ Sump Pu~ Wait.
~s, Sink Ejecmr/G~ ~ ke Chest
Bar S~k wal~ 5o~cr ~m Siak
Water H~t~ _]_ L~al W~te ~ S~ul~ Sink .
~ ~ Elect ~ ~Vnt Clothes Wshr .... Hand Sink
Shower ~ eidc~ F ~cp S{nk
Flor ~ain ..... a~ Tap ~ 5e~ Sink
Lnd~ Troy ~ Cia~s~ 5ink ~ Im G~asc
~b Sink Sur~ons Sink ~ . Ext Omas~ Tap
Plaster Sink - -- Brea~ Sink
Ste~liz~
Shamp Sink
FIr/Wst Sink
Ca,ch B~m
Wash Fm
Unnal
Oat D~in
Soda Disp
Coffee Maker
Icc MaWr
Site ~in
Roof~in
Standp Rec
Electric Contractor
Use / Nature Of Work
samtary Scwcr
Storm Sewer
Water Service
[~Eieetrie Installation Yetificati6n form attached
Replacement)
Material Type #
Conn. Type
KFFZ
· 427 N. M~,IN
OSHKOSH, WI ~4~O1
3102
MAR-}2-200$ WEQ 11:51 AM
KITZ&PFEIL
920 236 3348
~:_ 9_3(o- 5o8q-
DATE:
FROM: ~,:~~
Total pages, including this one: ·
True Value Hardware Stores in Appleton, Berlin, Fond du Lac, Menasha, Oshkosh
Corporate Offices: 427 N. Main; Oshkosh, W! 54901 9201236-3340 800/440-3340 FAX 9201236-3348