HomeMy WebLinkAbout0100356 POSHKOSH
ON THE WATER
.lob Address 901 JACKSON ST
Contractor
Bathtub 4
Whirlpool 0
Lavatory 4
Toilet 4
Res. Sink 0
Bar Sink 0
Water Heater 2
Site Drain 0
Roof Drain 0
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
LEHR HEATING AND PLUMBING INC
Owner D & M RENTALS LLC
Category 410 - Residential-Interior
Shower 0 Ejector/Grind 1 DipWell 0 F Prep Sink 0
Floor Drain 1 Water Soffner 0 Drink Ftn 0 Serv Sink 0
Lndry Tray 0 LocalWaste 0 Wait. St. 0 Shamp Sink 0
Lndry Stndp 2 ClothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0
Dishwasher 0 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 0
No 100356
Create Date 03/05/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature
of Work
Duplex - electric water heater
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$8,150.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$114.00
Date
03/24/2003
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 BOX36 Wautoma WI 54982 - 0000 Telephone Number
920-787-3426
OSHKOSH
ON THE WATER
Job Address 901 JACKSON ST
Contractor LEHR HEATING AND PLUMBING INC
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner D & M RENTALS LLC
Category 410 - Residential-Interior
Bathtub 4 Shower 0 Ejector/Grind 1 DipWell 0 F Prep Sink 0
Whirlpool 0 Floor Drain 1 Water Softner 0 Drink Ftn 0 Sen/Sink 0
Lavatory 4 LndryTray 0 LocalWaste 0 Wait. St. 0 Shamp Sink 0
Toilet 4 LndryStndp 2 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
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 2 Sump Pump 1 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 100356
Create Date 03~05~2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature
of Work
Iew
Duplex - electric water heater
Valuation $8,150.00
Issued By~
Sanitary Sewer
Storm Sewer
Water Sen/ice
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 $114.00
[] Permit Voided
Date
03/24/2003
In the performance of this work, I..~ree to perform
Signatu r~/~...~ ~-~/~~//
Address PO BOX 36
all work pursuant to rules governing the described construction.
Agent/Owner
Wautoma WI 54982 - 0000 Telephone Number
920-787-3426
City of Oshkosh
Inspection Services Division
P O Box t 130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
O/HKO/H
ON TN[ WATER
Plumbing Permit Application
I hereby apply for a 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.
· Application(s) and fee(s) can 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 the
normal permit fee, which ever is greater.
OR
I£¥ou are a contractor participating in the Permit Fee Account System and have adequate funds, check here
(£ you want this processed through your account ~]
Job Address qO i ~"c~c~¢X (~.~ Value (Including labor and materials) 5J ,~-~"~C~ Date
Owner g~i'~ ~-~o~eX'-~iL~ Contractor ~4-~-~/~--~ Z*-..hr
[-]Single Family [~lDuplex [-]Multi-Family [-]Rental [--]Commercial [--]Industrial
Number of Fixtures:
Bathtub q Lndry Standp
Whirlpool 0 Disposal
Lavatory *'1 Dishwasher ~ Drink Ftn (~,,,) Catch Basin
Toilet ~'i Sump Pump
Res. Sink ~ Ejector/Grind
Bar Sink (~ Water Softner
Water Heater ~, Local Waste
f2 Gas lit Elect [3 PwrVnt Clothes Wshr
Shower t.9 Bidet
Floor Drain
Beer Tap
Lndry Tray /~ Classrm Sink
Lab Sink ~r) Surgeons Sink
Plaster Sink ~ Breakrm Sink
Sterilizer
Electric Contractor
Use / Nature of WOrk
OR
[-]Electric Installation Verification form attached
(If Replacement)
Sanitary Sewer
Storm Sewer
Water Service
Size
Material Type # Conn. Type
3/02