HomeMy WebLinkAbout2002-Plumbing (bathroom remodel) CITY OF OSHKOSH No 95623
OSHKOSH PLUMBING PERMIT APPLICATION AND RECORD
ON THE WATER
Job Address 2220 ABBEY AVE Owner JAMES M /DONNA HOLMES Create Date 07/01/2002
Contractor WATTERS PLUMBING Category 410 Residential- Interior Plan
Bathtub 0 Shower 1 Ejector /Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Sery Sink 0 Soda Disp 0
Lavatory 1 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 1 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 Flr/Wst Sink 0 Int Grease Trap 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 Sculry Sink 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
Use /Nature SFR/ Remodel bathroom.
of Work
Size Material Type Conn. Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 0
0
0
0
0
Valuation $1,240.00 Plan Approval $0.00 Permit Fees $20.00
Issued By k Date 07/02/2002
El Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules goveming the described construction.
Signature Date
Agent/Owner
Address 1303 MIDWAY RD, PO BOX 118 MENASHA WI 54952 1129 Telephone Number 800 801 8125,733 -81
Fran: 07/02/2002 13:28 #013 P.002
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Inspection Services Division
P O BON 1130
Oshkush. WI 54Q03 -I 130
Phone: (920) 236 -3010 H
Fax; (930) :36 -4484
ON Fi WAIF le
P umbin2 Permit A
I hereby apply fora 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.
Job .Address v 7a 1 ezp, 4-, Value ii%r4. e Date, 7/ 4
Own er t..X29 i rArc doror...c Contractor ,.y, ,.is ,.efefoc./6
['jingle Family ❑Duplex ❑Multi- Family ❑Rental (Commercial ❑Industrial
Number of Fixtures:
Iladnuh Ludry Statnlp tent. t)p6r, slump Sink
Whirlpool 1)ispnsal Dip Well rtnWslSink
I,ilYallNy Di,llteabhcr Drink Fat Catch Dslain
Mile' hump Pomp Writ. tit. Wash Gin
Rev. Sink it�eLturairind lee ('hest Urinal
liar Sink r Water honour Exam Sink liar Drain
Water 1 Lwter !Veal Waste Scully Sink Soda I) p
Acme, 1'1 dlxs Wdhr 11iom1 Sink Coffee Maker
1)uru t)r lilt I 'di I° Prep .fink lee A4rker
1.ndry Tray Ilea 'rap St ry sink Site D rain
IA Sink t 'lassrm link 1111 1 ircasc 'trap Roof Drain
Nly:ur tiink Surgeons Sink YSI t inane Trap titundp ttei
Swill..cr •1iNakroi Sink
Electric Contractor
Use Nature of Work
Size Material Type 11 Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
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