HomeMy WebLinkAbout0093596-Plumbing CITY OF OSHKOSH No 93596
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 340 S KOELLER ST Owner OSHKOSH THEATRES CORP Create Date 04/12/2002
Contractor JIM'S PLUMBING Category 440 - Industrial- Interior Plan
Bathtub 0 Shower 0 Ejector /Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Sery Sink 0 Soda Disp 0
Lavatory 0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 Sculry Sink 0 Wash Ftn 0
Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 1 Urinal 0
Site Drain 3 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
Use /Nature COMM/ Concession area renovation.
of Work
Size Material Type # Conn. Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 0
0
0
0
0
Valuation $4,500.00 Plan Approval $0.00 Permit Fees $24.00
Issued By V.-YIN Date 04/12/2002
0 Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules goveming the described construction.
Signature Date
Agent/Owner
Address W -6166 GREENVILLE DRIVE GREENVILLE WI 54942 - 0000 Telephone Number 757 -5258 OR 757 -64
04/12/2002 14:33 FAX 920 757 6482 JIMS PLUMBING 0 001 /001
City of Oshkosh
Inspection Services Division
PO Box 1130
Oshkosh, WI 54903 -1130
Phone: (920) 236 -5050 ()[-1J((JJ--
Fax: (920) 236 -5084
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.
Job Address 3 90 S. e /4,-1/ Value (Including labor and materials) /7J v u Date 411 1 --'r
Owner ( * . 1 R-- Contractor —7704's el2_ 422 3 3 (0 Z
OSingle Family ODuplex [Multi- Family []Rental ,1:1 Commercial [Industrial
Number of Fixtures:
Bathtub thdry Standp Dent. Oper. Shamp Sink
Whirlpool Disposal Dip Well Fir/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
Shower Clothes Wshr Hand Sink __ Coffee Maker
Floor Drain Bidet F Prep Sink !ce Maker
Lndry Tray Beer Tap Sery Sink Site Drain 3
Lab Sink Classrm Sink int Grease Trap Roof Drain
Plaster Sink Surgeons Sink Ext Grease Trap Standp Rev
Sterilizer Brealam Sink
Electric Contractor OR ❑ EIV form attached (If Replacement)
nn
Use / Nature of Work l g.t cue.. C s tool 14(4.11 4 e,,,.,/u ti
Size Material Type t# Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
• 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 permits) will result in fees being doubled or $100.00 plus the normal permit fec,
which ever is greater.
OR
Check .here if you want this processed through your account far
•
Job Address 340 S KOELLER ST Plumbing Permit Work Card
Permit Number 93596 Create Date 04/12/2002
Owner OSHKOSH THEATRES CORP Contractor JIM'S PLUMBING
`egory 440 - Industrial- Interior Plan Value $4,500.00
bathtub 0 Shower 0 Ejector /Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Sery Sink 0 Soda Disp 0
Lavatory 0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 Flr/Wst Sink 0 Int Grease Trap 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 Sculry Sink 0 Wash Ftn 0
Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 1 Urinal 0
Site Drain 3 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
Use /Nature COMM/ Concession area renovation.
of Work
Size Material Type # Conn.Type
Sanitary Sewer 0
0
0
0
d q I Z :b7_/
Storm Sewer 0
0
0
0
0
Water Service 0
0
0
0
0
Date Type Inspector
Cdr /' .5 - -/ t
Date/Time requested: Notice Type: Telephone Number:
Access:
Ready Date/Time: Requested By:
O Reinspect Fee O Fee Waived ❑ Reinspect Fee Paid