HomeMy WebLinkAbout0100299-PlumbingOSHKOSH
ON THE WATER
,Job Address 1350 HEIDI HAVEN CT
Contractor JIM'S PLUMBING
Bathtub 1
Whirlpool 0
Lavatory 4
Toilet 4
Res. Sink 1
Bar Sink 0
Water Heater 1
Site Drain 0
Roof Drain 0
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner MICHAEL D/JENNI WEBER
Category 410 - Residential-Interior
Shower 2 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Floor Drain 1 Water Softner 0 Drink Ftn 0 Serv Sink 0
Lndry Tray 1 LocalWaste 0 Wait. St. 0 Shamp Sink 0
Lndry Stndp 1 ClothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
Disposal 1 Bidet 0 Exam Sink 0 Catch Basin 0
Dishwasher 1 Beer Tap 0 Sculry Sink 0 Wash Ftn 0
Sump Pump 1 Dent. Oper. 0 Hand Sink 0 Urinal 0
Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 1
No 100299
Create Date 01/07/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$10,000.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$120.00
Date 03/20/2003
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 W-6166 GREENVILLE DRIVE GREENVILLE WI 54942 - 0000 Telephone Number
757-5258 OR 757-64(
03/20/2003 07:44 FAX 920 757
~pr- 14E D2 O1: O2~p
6482
Oshkosh
Jigs PLUfdBING
llnspeot, ions
-5084
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p.1
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
O. fHKO/H
ON 'trill ~A?ER
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, thc work to conform to thy
Wisconsin State Plumbing Code, in the per£ornlance of which all parties hereto agree to and are bound by said statutes.
Application(s) and fee(s) ~an 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 thc
normal permit fee, which ever is greater.
OR
if.you are a contractor l~artici~atini~ in th.e Perrnia Fee/tacount System a.n. d have adequat~ funds, check
(~.),ou wa~t this z~rocesscd thrbi~ch ~our account ~ '
,,.,.e ,,.,,,,,.,,.,o;..,..,,.,., /O 0 00 0,.,,
Single Family E]Duplex E]Mulfl-Family E~]Rental I ICommercial E]Industrial
Number of Fixtures:
Bathtub .. !,~
Whirlpool
Toilet
Res. Sink
Bar Sink
l
Floor Drain
Lndty Tray f
Plaster Sink ..,
S~erilizer
Electric Contractor
Use / Nature of Work
/
Larry l~tandp ~ Dent. <)per. Shamp Sink
Disposal / Dip Well FtrlWst Sink
Dishwasher /, , D~nk Fin ,,, ~tch Bnsi~
$~ p~p / . Wait. St. W~h Fin
Ejects/Grind 1~ ~t~n~ ]. __ Urinal
Water S0fln~ E~m Sink Gar Drain
Clothes Wshr Hand Sink . Coff~ Maker
~ [d~t F Pr~p Sink : . [~ Maker
Beer Tap ~ Sink S{~ Drain
C1~ Sink Iht Grease Trap ~f ~in
Sut~ons Sink Ext O~a~ T~p Stamp Rcc
~reak~ ~ink
OR
nJEiectric Installation Verification form attached
Sanitary Sewer
Storm Sewer
Water Sca'icc
Size
Material Type # Conn. Type
3/02
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