HomeMy WebLinkAbout0100366-Plumbing (bar sink)OSHKOSH
ON THE WATER
.lob ,Address 544 N MAIN ST
Contractor M P KELLY
Bathtub 0 Shower
Whirlpool 0 Floor Drain
Lavatory 0 Lndry Tray
Toilet 0 Lndry Stndp
Res. Sink 0 Disposal
Bar Sink 1 Dishwasher
Water Heater 0 Sump Pump
Site Drain 0 Classrm Sink
Roof Drain 0 Breakrm Sink
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner WALTER P/MARY T MELCHIOR
Category 410 - Residential-Interior
0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0
0 WaterSoftner 0 Drink Ftn 0 ServSink 0
0 Local Waste 0 Wait. St. 0 ShampSink 0
0 CIothesWshr 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 100366
Create Date 03/24/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature COMM/Install owner's bar sink.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$565.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$20.00
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 665 N MAIN ST OSHKOSH WI 54901 - 4431 Telephone Number
231-1750
Cit~ of Oshkosh
Inspection Services Division
POBox 1130.
Oshkosh, WI $4903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Plumbing
I hereby apply for a permit to do and install the following plumbing on the prerruses hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are botmd by said statutes.
· Application(s) and fcc(s) can be brought to City Hall. Room 205 or mailed to Inspecuon Services, PO Box 1128,
Oshkosh WI 54903-1128. Corr~.rencing work without permit(s) will result in fees being doubled or $100.00 plus thc
normal permit fee, which ever is greater.
O~.
lfyou are a contractor p, articipatin£ tn the Permit Fee ,4ccount System and have adequate funds, check here
if vo.u.want this processed, through your. ac.count []
I"'iSingle Family r"]Oupl/ex [--]Multi-Family I-]Rental I'-]Commerclnl I-'llndu~nl
Number of Fixtures:
L~vetory
Toilet
Res.
Bm, St~k /
WMer Healer
Gas O Elect 0 PwrVnt
Show~
~ Drain
Ladry Thy
L~b Sink
Plaster Siflk
Sterilize'
Lndry Sm~dp Dem. Oper.
~s~s~ ~nk Fm
S~ Pu~ Wait, SL
Ej~nd Ice C~t
Wa~ ~ Exam Sink
~1 Waste Scut~ Sink
~ Wshr Hand Sink
O~ Sink Im G~se T~p
S~s Sink Exl G~se
B~ Sink
Electric Contractor
Use / Nature of Wor~_~~~
,OR ~'-]Electric Installation Yerlflentl~n form attached
(If geplacer~)
Sanitary ~-wer
Storm Sewer
Water Service
Si~e Material
Type # Conn, Type
]/02