HomeMy WebLinkAbout0100266-PlumbingOSHKOSH
ON THE WATER
.lob Address 40-90 WISCONSIN ST
Contractor PLUFF PLUMBING
Bathtub 0 Shower 0
Whirlpool 0 Floor Drain 1
Lavatory 2 Lndry Tray 0
Toilet 2 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 D&F INVESTMENTS
Category 410 - Residential-Interior
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 1
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 100266
Create Date 03/13/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature
of Work
Strip Mall /
50 Wisconin/Plumbing work for Curves.
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$2,300.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$42.00
Date
03/18/2003
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 PO BOX264 DALE WI 54931 - 0264 Telephone Number
779-4884
OSHKOSH
ON THE WATER
Job Address 40-90 WISCONSIN ST
Contractor PLUFF PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner D&F INVESTMENTS
Category 410 - Residential-Interior
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 0 Floor Drain 1 Water Softner 0 Drink Ftn 0 Serv Sink 0
Lavatory 2 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0
Toilet 2 LndryStndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 1
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0
Bar Sink 0 Dishwasher 0 BeerTap 0 SculrySink 0 Wash Ftn 0
Water Heater 1 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 100266
Create Date 03/13/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature
of Work
trip
Mall / 50 Wisconin/Plumbing
work for Curves.
Valuation $2,300.00
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
Plan Approval $0.00 Permit Fees $42.00
[] Permit Voided
Date 03/18/2003
In the performance of this work, I ague to pe~rf~m3 all work pursuant to rules governing the described construction.
Si gnatur~ ~"'%' ' "-'~*' ~"'~¢~i~'~c~..~'~-,~ FJ, &+L/~ Date
~ / (~/ AgentJOwner
Address PO BOX264 DALE WI 54931 - 0264 Telephone Number
779-4884
City of Oshkosh
Inspection Services Division
? O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Plumbing Permit Application
O/HKO/H
ON THE WATER
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
(f you want this processed through your account [-]
Job Address ~ U~ ~c_ ~ v'e
Owner ~A- Contractor
[--]Single Family [--]Duplex [--]Multi-Family
Number of Fixtures:
Bathtub Lndry Standp
Whirlpool Disposal
Lavatory ~ Dishwasher
Toilet ~.-' Sump Pump
Res. Sink Ejector/Grind
Bar Sink Water Sofmer
Water Heater ._L____~ Local Waste
[] Gas~ Elect [] PwrVn[ Clothes Wshr
Shower Bidet
Floor Drain I Beer Tap
Lndry Tray Classrm Sink
Lab Sink Surgeons Sink
Plaster Sink Breakrm Sink
Sterilizer
Value (Including labor and materials}
[-]Rental
Dent. Oper.
Dip Well
Drink Ftn
Wait. St.
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
F Prep Sink
Serv Sink
Int Grease Trap
Ext Grease Trap
/ - /
~Commercial []Industrial
Sha~ Sink
Flr~st Sink -
Catch B~in
Wash Fm
Urinal
Gar ~in
Soda Disp
Coffee Maker
Ice Maker
Site ~in
Roof ~in
S~ndp Rec
Electric Contractor {-~
Use / Nature of Work ~A
OR
['-lElectric Installation Verification form attached
(If Replacement)
Sanitary Sewer
Size
Material
Type
# Conn. Type
Storm Sewer
Water Service
3/02