HomeMy WebLinkAbout0100370 POSHKOSH
ON THE WATER
.lob Address 1020-1040 W 20TH AVE
Contractor JT SCHMIDT PLUMBING INC
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner JAMES PETR
Category 440- Industrial-Interior
Bathtub 0 Shower 0 Ejector/Grind 0
Whirlpool 0 Floor Drain 6 Water Softner 0
Lavatory 8 Lndry Tray 5 LocaIWaste 0
Toilet 8 Lndry Stndp 0 CIothesWshr 0
Res. Sink 0 Disposal 0 Bidet 0
Bar Sink 0 Dishwasher 0 Beer Tap 0
Water Heater 5 Sump Pump 0 Dent. Oper. 0
Site Drain 0 Classrm Sink 0 Lab Sink 0
Roof Drain 0 Breakrm Sink 0 Sterilizer 0
DipWell 0 F Prep Sink 0
Drink Ftn 0 Serv Sink 0
Wait. St. 0 Shamp Sink 0
Ice Chest 0 FIr/Wst Sink 0
Exam Sink 0 Catch Basin 0
Sculry Sink 0 Wash Ftn 0
Hand Sink 0 Urinal 0
Plaster Sink 0 Standp Rec 0
Surgeons Sink 0 Ice Maker 0
No 100370
Create Date 03/18/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature
of Work STRIP MALL PLUMBING INCLUDING "MILWAUKEE PC" TENNANT SPACE
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$20,000.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$168.00
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
COMBINED LOC WI 54113 - 0000 Telephone Number
Address 419 S WASHINGTON ST 788-7314
.. City og Oshkosh
Inspection Services Division
P 0 Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236.5050
Fax: (920) 236-5084
plumb ation
O/HKO/H
ON THE WATER
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.
Job Address. ,'/~)~0' qO ~.
O,vner .,~. _ ~,
[-]Single Family [-]Duplex
r]Multi-Family
Number of Fixtures:
Bathtub Lndry Standp
Whirlpool Disposal
Lavatory ~ Dishwasher
Toilet ~ Sump Pump
Res. Sink Ejector/Grind
Bar Sink Water Softner
Water Heater .~ Local Waste
Shower Clothes Wshr
Floor Drain ~ Bidet
Lndry Tray ~ Beer Tap
Lab Sink Classrm Sink
Plaster Sink Surgeons Sink
Sterilizer Breakrm Sink
Electric Contractor
Use / Nature of Work
Value (~c, udi.g libor and materials) F)~};r ~0(-~ ~ ~
. ~ Date
Contractor ~ ~~:, ~~
~R~al ~Commercial ~Industrial
-
Dent. Oper. Shamp Sink
Dip Welt Flr/Wst Sink
Drink Ftn Catch Basin
Wait St. Wash Ftn
Ice Chest Urinal
Exam Sink Gar Drain
Sculry Sink Soda Disp
Hand Sink Coffee Maker
F Prep Sink Ice Maker
Serv Sink Site Drain
Int Grease Trap Roof Drain
Ext Grease Trap Standp Rec
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type # Conn. Type
Application(s) and fee(s) can be brought to City Hail, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh '
54903-1125. Commencing work without pemqit(s) will result in fees being doubled or $100.00 plus the normal permit fee.
which ever is grea~er.
OR
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