HomeMy WebLinkAbout0100384-Plumbing SHKOSH
ON THE WATER
.;ob Address 2400 HERITAGE CT
Oontractor JNL PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner BRIANA PIZON
Category 410 - Residential-Interior
No 100384
Create Date 03/19/2003
Plan
Bathtub 0 Shower 1 Ejector/Grind 0 DipWell 0 F PrepSink 0 Gar Drain
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp
Lavatory 1 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker
Toilet 1 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext GreaseTrap
Bar Sink 0 Dishwasher 0 BeerTap 0 SculrySink 0 Wash Ftn 0
Water Heater 0 Sump Pump 0 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
IFF{/
Use/Nature
of Work
Finishing 1/2 of the basement.
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
$1,200.00 Plan Approval
Size
Material
Type
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$0.00
Permit Fees
$20.00
[] Permit Voided
Date
03/25/2003
In the perfor~nan~., of this work, I a_gree to perform all work pursuant to rules governing the described construction.
Signatu're'l~ ('~~ (~....(~~ Date 2' ~ ~"~0...~
Agent/Owner
Address 1570 N OAKWOOD RD Oshkosh WI 54904 - 0000 Telephone Number 233-2661
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-I 130
Phone: (920) 236-5050
Fax: (920) 236-5084
O/HKO/H
ON THE 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
If you are a contractor particiPating in the Permit Fee Account System and have adequate _funds, check here
(f you want this processed through your account ~]
Job Addressg t~ (2~ i-(-~W~ct ~ Value (Including labor and materials)
Owner Contractor
[~Single Family [--]Duplex [-]Multi-Family [--']Rental [-'-]Commercial [~]Industrial
Number of Fixtures:
Bathtub Lndry Standp Dent. Oper. Shamp Sink
Whirlpool Disposal Dip Welt Flr/Wst Sink
Lavatory } Dishwasher Drink Ftn Catch Basin
Toilet [ Sump Pump Wait. St. Wash Ftn
Res. Sink Ejector/Grind Ice Chest Urinal
Bar Sink Water Softner Exam Sink Gar Drain
Water Heater Local Waste Sculry Sink Soda Disp
[] Gas [] Elect [] PwrVnt Clothes Wshr Hand Sink Coffee Maker
Shower
Bidet F Prep Sink Ice Maker
Floor Drain Beer Tap Serv Sink Site Drain
Lndry Tray Classrm Sink Int Grease Trap Roof Drain
Lab Sink Surgeons Sink Ext Grease Trap Standp Rec
Plaster Sink Breakrm Sink
Sterilizer
Electric Contractor
Use / Nature of Work
OR
[--]Electric Installation Verification form attached
(If Replacement)
Size
Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
3/02