HomeMy WebLinkAbout0100336-PlumbingOSHKOSH
ON THE WATER
.lob Address 1934ALGOMA BLVD
Contractor KOCH PLUMBING
Bathtub 0 Shower
Whirlpool 0 Floor Drain
Lavatory 2 Lndry Tray
Toilet 2 Lndry Stndp
Res. Sink 1 Disposal
Bar Sink 0 Dishwasher
Water Heater 1 Sump Pump
Site Drain 0 Classrm Sink
Roof Drain 0 Breakrm Sink
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner THOMAS R/TERI K KARRELS
Category 440- Industrial-Interior
0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0
1 WaterSoftner 0 Drink Ftn 0 ServSink 0
0 Local Waste 1 Wait. St. 0 ShampSink 0
0 ClothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
0 Bidet 0 Exam Sink 0 Catch Basin 0
0 Beer Tap 0 SculrySink 0 Wash Ftn 0
0 Dent. Oper. 0 Hand Sink 0 Urinal 0
0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 100336
Create Date 03/21/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature
of Work COMM/ REMODLE TENNANT SPACE
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$6,800.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$48.00
Date 03/21/2003
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 2005 DOTY ST OSHKOSH WI 54901 - 0000 Telephone Number
BUTCH (C)379-8753
..03/21 / 2003 09:18
City of Oshkosh
I.spec¢ion Services Division
!' O [lox 11]0
Oshkosh, %VI 5490:3-.I 130
Plane: (920) 236~5050
Fax: (920) 236-5054
9282358282 KOCH PLUHBING INC
Poet-It' Fax Note 7671 Date # of
~'o~o~. ~ .... ~..~. co.
F~ e Fax ~
PAGE 81
ON ~'HE WA~tER
pl mbin_ Permit Application
I hereby apply for ;; permit to do and install dm followinf: phm~bing on the preo'~se$ hcrcinMier described, thc work to con£orm
Wiscm~sin State Plumbmg Code, i~! thc pe,.fim~m;¢ of which all parties hereto agree to a,~d arc bound by said stalutes.
Owner "~'_~o~..._.~..~¢rt.,i ~, Contractor "T'o,nn, ]~¢'~. ....
[~}Singlc Family [~]Duplex [--]Mul(i-Family E~l>-cn tal [~J{lCommcrciai I-"}lndustrial
Number of Fixtures:
Bathtub Ladry $landp J.~.~"nl, Op~r .... , ...... $~ Sin~,
Fk~st Sink
~irl~l ~s~sml Dip Well ...............
~va~ ..~ .... Di~h~ .............. l~nk F~ ................... C~t,h ~sin
Toils1 ....... ~ Su~ Pu~ ................ Wail. St ....... Wash Fm
~r Sin~ Wat~ S~cr Exam Sink ~r ~in
S~wcr ~ Clothes Wshr Hand Sink Co~ Mak~
~ ~ ~ B~ F Pr~ Sink I~ Mak~
~ T~y ~ T~
C~ Sink ~ ~1 ~ T~p R~f ~in
Ext ~ T~p S~dp R~
Pisser Sink Surges Sink ........
Bma~ Sink
Electric Contractor
Use / Nature of Work
.OR
O EIV form attached (lfReplacemont)
Sa~ita~t Sewer
Storm Sewer
Water Service
S~¢ Material Type it ' Corm. Type
Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1121t, 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
ChOck h~re ,i-~ you ~vaz~t ehla processed ChX'OU~la y_~uz aC'cO,~U'lC 1~