HomeMy WebLinkAbout0103267-PlumbingOSHKOSH
ON THE WATER
Job Address 2727 CLOVER ST
Contractor P&S PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner DEWEY HOMES
Category 410 - Residential-Interior
No t03267
Create Date 06/06/2003
Plan
Bathtub 2 Shower 0 Ejector/Grind 0 DipWell 0 F PrepSink 0 Gar Drain 0~
Whirlpool 0 Floor Drain 1 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp
01
Lavatory 2 LndryTray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 2 LndryStndp I Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
Res. Sink I Disposal I Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Bar Sink 0 Dishwasher I Beer Tap 0 ScalrySink 0 Wash Ftn 0 RPZ Valve 0
Water Heater 1 Sump Pump 1 Dent. Oper. 0 Hand Sink 0 Urinal 0 Eye Wash Statn 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
NSFR
Use/Nature
of Work
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Valuation $5,200.00 Plan Approval $0.00 Permit Fees $78,00
Issued By j,/f~J~
[] Permit Voided
Date 08/01/2003
In the pedorr~anc~ of this work, I agree to pedorm all work pumuant to rules governing the described construction,
Signatur~..'! ~ ~"~-~ Date
Agen~Owner
Address PO BOX2153 APPLETON Wi 54913 - 0000 Telephone Number
734-3912
To schedule inspections please call the Inspection Request line at 236-5.128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City of Oshkosh
Inspection Services Division
POBox I130
Oskkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
O/HKO/H
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 Svstem and have adequate funds, check here
if you want this processed through pour account [~
Job Address 2. Q 2 r7 ~ L ~ ~'z~.f/ Value (Including labor and materials) '~! 2
Owner Contractor /) L* ~ ~'
[2]Single Family [--]Duplex [~Multi-Family ['-]Rental [-]Commercial
Date
[-']Industrial
Number of Fixtures:
Bathtub ~ [ndry Standp ! Dent. Oper.
Whirlpool Disposal I Dip Well
Lavatory 2 Dishwasher / Drink Fm
Toilet ~ Sump Pump [ Wait. St.
Res. Sink I Ejector/Grind Ice Chest
Bar Sink Water Sofmer Exam Sink
Water Heater I Local Waste Sculry Sink
I[ Gas U Elect O PwrVnt
Clothes Wshr Hand Sink
Shower
Bidet F Prep Sink
Floor Drain I
Beer Tap Serv Sink
Lndry Tray Classrm Sink Iht Grease Trap
Lab Sink Surgeons Sink Ext Grease Trap
Plaster Sink Breakrm Sink ILP.Z. Valve
Sterilizer
Shamp Sink
Flr/Wst Sink
Catch Basin
Wash Ftn
Urinal
Gar Drain
Soda Disp
Coffee Maker
Ice Maker
Site Drain
Roof Drain
Standp Rec
Eye Wash Sin
Electric Contractor
Use / Nature of Work
OR
[-]Electric Installation Verification form attached
(If Replac~t)
Sanitary Sewer
Storm Server
Water Service
Size
Material
Type
# Conn. Type
7/03