HomeMy WebLinkAbout0100550-Plumbing (tub, shower, toilet)OSHKOSH
ON THE WATER
,Job Address 1313 E MURDOCKAVE
Contractor M P KELLY
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner JAMES E/JANE HOFFMAN
Category 410 - Residential-Interior
Bathtub 0 Shower 1 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0
Lavatory 1 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0
Toilet 1 Lndry Stndp 0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0
Bar Sink 0 Dishwasher 0 Beer Tap 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
No 100550
Create Date 04/01/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature SFR/Replace tub/shower, toilet &lav.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$3,000.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$20.00
Date
04/01/2003
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
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-I 130
Phone: (920) 236-5050
Fax: (920) 236-5084
Plumbing
RECEIVED
APR 0 1 2003
DEPART~ENT OF
... ,~ 9 [;, ~,~,~ I2q [TY.DEVF-.LOPN1ENT
I-'ermlt Application
O./HKO..fH
ON THE WATER
I hereby apply for a permit to do and install the followi.ng 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 Heater.
OR
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account [-]
Job Address /O'9~ ~~~~Value (]ncluding labor and materialsl_J~.~m0t0f~
Owner ,~1/~_ //~A-~ / Contractor
- ' ' F,__., /1 '
[~lSingle Family r'-I~plex I--IMulti-Family I--1Rental I ICommercial F'llndustrial
., ~v,_-~.~'umb"r '"f Fix~t"re~;~''' ':: ............... : ................................. ~'
Bathtdb Lndry Standp Dent. Oper. Shamp Sink
Whirlpool Disposal Dip Well Flr/Wst. Sink
Lavatory ] Dishwasher Drink Fm Catch Basin
Toilet / Sump Pump Wait. St. Wash Fin
Res. Sink Ejector/Grind Ice Chest Urinal
Bar Sink Water Softner Exam Sink Gar Drain
Water Heater Local Waste Sculry Sink Sixla Disp
[] Gas E Elect [] PwrVnt Clothes Wshr Hand Sink Coffee Maker
Shower I Bidet F Prep Sink lee Maker
Floor Drain Beer Tap Sew Sink Site Drain
Lndry Tray Classrm Sink Int Grease Trap Roof Drain
Lab Sink Surgeons Sink Ext Grease Trap Standp Rec
Plaster Sink Breakrrn Sink
Sterilizer
Electric Contractor
Use / Nature of Work
Sanitary Sewer
O-R r-lElectric Installation Verificati6n form attached
(If Replacement)
Storm Sewer
Water Service
Size Material Type # Conn. Type
3/02